Tracheal Resection and Reconstruction

Perioperative management of patients undergoing tracheal resection and reconstruction: a retrospective observational study

“…There are different anesthesia induction techniques described in the literature for severe stenosis. 12 , 16 Our intraoperative complications were not linked to anesthetic induction, which supports the observation of the previous cohort reported by Krecmerova et al 9 Although our principal anesthetic induction was intravenous (79.07%) with no adverse events reported, it is unclear which technique is best suited for severe stenosis. Another study performed spirometry before and after anesthetic induction in patients undergoing TRR for laryngotracheal stenosis and found that intravenous induction with neuromuscular relaxation, LMA, and positive pressure volume ventilation have better air flows through severe extra thoracic stenosis compared to the spontaneous breathing efforts of the awake patient.…”

“…These interventions permit maintaining a patent airway and may allow a period for medical optimization before TRR. 12 …”

“…If this attempt fails, it is suggested to perform a tracheostomy 2-cm distal from the anastomosis. 12 However, it remains unclear whether early extubation has, in fact, any benefits over late extubation.…”

“… 11 The anesthetic technique also varies, but it is usually performed under general anesthesia with total intravenous or balanced techniques. 12 Therefore, anesthetic management can be a concealed factor concerning postoperative outcomes of patients undergoing TRR. The main objective of this study is to describe our experience in the perioperative anesthetic management of patients with tracheal stenosis undergoing TRR.…”

Achieving Successful Extubation and Cost-Effective Recovery Following Anesthetic Airway Management in Supracarinal Tracheal Reconstruction Surgeries: A Retrospective Analysis

“…The procedure is often carried out under general anesthesia that involves intermittent tailored doses of both intravenous and inhalational anesthetic agents or only total intravenous anesthesia (TIVA) [ 5 ]. The procedure most frequently involves inserting a small-size endotracheal tube (ETT) close to the stenosis, the use of a laryngeal mask airway (LMA) for supracarinal tracheal resection and reconstruction (TRR), and catheter-based high-frequency jet ventilation techniques for airway management [ 6 ].…”