Resection of stenotic trachea: a case presentation
Tracheal stenosis is usually a complication of prolonged mechanical ventilation. If the narrowing is severe it will greatly obstruct the air flow. Resection of the damaged trachea is a life saving procedure. The anesthetic management of the resection of an "ice cream cone narrowing" of the...
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| Veröffentlicht in: | Anesthesia and analgesia 1976-03, Vol.55 (2), p.191-194 |
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| container_title | Anesthesia and analgesia |
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| creator | Boyan, C P Privitera, P A |
| description | Tracheal stenosis is usually a complication of prolonged mechanical ventilation. If the narrowing is severe it will greatly obstruct the air flow. Resection of the damaged trachea is a life saving procedure. The anesthetic management of the resection of an "ice cream cone narrowing" of the trachea (3 mm diameter) 4 cm above the carina is reported. A forced vital capacity loop (expiration-inspiration) of air flow versus volume revealed preoperatively little difference in the flow during the forced (F-V) and resting ventilation (Vt), thus confirming a diagnosis of severe upper airway obstruction. A total obstruction of the air flow was encountered during the skeletonization of the trachea and the surgeon was allowed to work for not more than 60 seconds at a time. Perfect cooperation between the surgeon and the anesthetsia team is necessary for the successful completion of this type of surgery. |
| doi_str_mv | 10.1213/00000539-197603000-00014 |
| format | Article |
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If the narrowing is severe it will greatly obstruct the air flow. Resection of the damaged trachea is a life saving procedure. The anesthetic management of the resection of an "ice cream cone narrowing" of the trachea (3 mm diameter) 4 cm above the carina is reported. A forced vital capacity loop (expiration-inspiration) of air flow versus volume revealed preoperatively little difference in the flow during the forced (F-V) and resting ventilation (Vt), thus confirming a diagnosis of severe upper airway obstruction. A total obstruction of the air flow was encountered during the skeletonization of the trachea and the surgeon was allowed to work for not more than 60 seconds at a time. 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If the narrowing is severe it will greatly obstruct the air flow. Resection of the damaged trachea is a life saving procedure. The anesthetic management of the resection of an "ice cream cone narrowing" of the trachea (3 mm diameter) 4 cm above the carina is reported. A forced vital capacity loop (expiration-inspiration) of air flow versus volume revealed preoperatively little difference in the flow during the forced (F-V) and resting ventilation (Vt), thus confirming a diagnosis of severe upper airway obstruction. A total obstruction of the air flow was encountered during the skeletonization of the trachea and the surgeon was allowed to work for not more than 60 seconds at a time. Perfect cooperation between the surgeon and the anesthetsia team is necessary for the successful completion of this type of surgery.</abstract><cop>United States</cop><pmid>943978</pmid><doi>10.1213/00000539-197603000-00014</doi><tpages>4</tpages></addata></record> |
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| ispartof | Anesthesia and analgesia, 1976-03, Vol.55 (2), p.191-194 |
| issn | 0003-2999 |
| language | eng |
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| source | Journals@Ovid Complete - AutoHoldings; MEDLINE; Journals@Ovid LWW Legacy Archive; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Airway Obstruction - surgery Anesthesia Humans Male Middle Aged Oxygen Inhalation Therapy Tracheal Stenosis - surgery |
| title | Resection of stenotic trachea: a case presentation |
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