Anaesthesia for tracheal resection: report of 17 cases.

Détails

ID Serval
serval:BIB_543FE382DC3C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Anaesthesia for tracheal resection: report of 17 cases.
Périodique
Canadian Journal of Anaesthesia = Journal Canadien d'Anesthésie
Auteur⸱e⸱s
Magnusson L., Lang F.J., Monnier P., Ravussin P.
ISSN
0832-610X (Print)
ISSN-L
0832-610X
Statut éditorial
Publié
Date de publication
1997
Volume
44
Numéro
12
Pages
1282-1285
Langue
anglais
Notes
Publication types: Clinical Trial ; Journal Article Publication Status: ppublish
Résumé
PURPOSE: 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.
METHODS: 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.
RESULTS: 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.
CONCLUSION: 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.
Mots-clé
Adult, Aging/physiology, Anesthesia, Child, Female, Hemodynamics/physiology, High-Frequency Jet Ventilation, Humans, Intubation, Intratracheal, Male, Oxygen/blood, Preanesthetic Medication, Trachea/surgery, Tracheal Stenosis/surgery
Pubmed
Web of science
Open Access
Oui
Création de la notice
28/01/2008 11:52
Dernière modification de la notice
20/08/2019 15:09
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