Anaesthesia for tracheal resection: report of 17 cases

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
L MagnussonP Ravussin

Abstract

Laryngo-tracheal stenosis remains a major complication after prolonged intubation or tracheostomy. Surgical resection with end-to-end anastomosis carries the best long term prognosis. For the anaesthetist, however, this procedure represents a most challenging situation. Since 1993, we have used high frequency jet ventilation (HFJV) for tracheal resection. This paper describes the technique and the results of our series including 7 adults and 10 children. There were no adverse haemodynamic or ventilatory consequences due to HFJV. Oxygenation was well maintained during the HFJV period. Sixteen of the 17 patients had a good outcome. Despite the good result of the resection-anastomosis, one child still suffers from an associated posterior glottic stenosis. Since the introduction of HFJV for surgery of tracheal stenosis in our institution no complication of this ventilatory technique has occurred. It reduces the manipulation of the ventilation system and the period of apnea, thus decreasing the risk of hypoxaemia. The good access to the surgical field contributes to the success of resection-anastomoses in laryngo-tracheal stenosis.

References

Oct 1, 1976·Anaesthesia·R H EllisL T Gadd
Jan 1, 1989·British Journal of Anaesthesia·F GiuntaG P Giron
Nov 1, 1986·The Annals of Otology, Rhinology, and Laryngology·F G PearsonJ D Cooper
Jan 1, 1985·Anaesthesia·R C RogersD L Coppel
May 1, 1974·Anaesthesia·P Lee, I C English

❮ Previous
Next ❯

Citations

Feb 16, 2000·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·B Ratzenhofer-KomendaF M Smolle-Jüttner
Apr 26, 2006·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Palanikumar SaravananEdmund A J Morris
Sep 27, 2001·Anesthesiology Clinics of North America·K McRae
Feb 25, 2005·Anesthesia and Analgesia·Etienne DereeperMaurice Sosnowski
Feb 20, 2010·Interdisciplinary Perspectives on Infectious Diseases·Guey-Chuen Perng, Clinton Jones
Oct 31, 2002·Journal of Cardiothoracic and Vascular Anesthesia·Serge M Broka, Philippe M Eucher
Apr 26, 2008·Paediatric Anaesthesia·Ali AlagözEser Savkilioğlu
Mar 21, 2000·International Anesthesiology Clinics·W Sandberg
Jun 21, 2007·European Journal of Anaesthesiology·H MisiolekM Misiolek
Jun 20, 2001·European Journal of Anaesthesiology·H Williams, J Gothard
Jan 4, 2020·Paediatric Anaesthesia·James BradleyJames Peyton
Sep 28, 2001·Anesthesia and Analgesia·J S RoyP Ferraro
Jul 22, 2014·Paediatric Anaesthesia·Babita GuptaBiplab Mishra

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
B Ratzenhofer-KomendaF M Smolle-Jüttner
The Annals of Thoracic Surgery
Dale K MuellerBrian Jaquet
European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
M ErnstR Moosdorf
Scandinavian Journal of Thoracic and Cardiovascular Surgery
Y WatanabeS Murakami
© 2021 Meta ULC. All rights reserved