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Review
. 2022 Jan-Mar;38(1):48-57.
doi: 10.4103/joacp.JOACP_611_20. Epub 2021 Dec 30.

Anaesthesia for tracheal resection and anastomosis

Ashwin Marwaha  1 , Akhil Kumar  1 , Shikha Sharma  1 , Jayashree Sood  1
Affiliations
Review

Anaesthesia for tracheal resection and anastomosis

Ashwin Marwaha et al. J Anaesthesiol Clin Pharmacol. 2022 Jan-Mar.

Abstract

Tracheal resection anastomosis is one of the most challenging surgeries. Notable advances in this field have made possible a variety of surgical, anesthetic, and airway management options. There are reports of newer approaches ranging from use of supraglottic airway devices, regional anesthesia, and extracorporeal support. Endotracheal intubation with cross-field ventilation and jet ventilation are the standard techniques for airway management followed. These call for multidisciplinary preoperative planning and close communication during surgery and recovery. This review highlights the anesthetic challenges faced during tracheal resection and anastomosis with specific considerations to preoperative workup, classification of tracheal stenosis, airway management, ventilation strategies, and extubation. The newer advances proposed have been reviewed.

Keywords: Cross-field ventilation; jet ventilation; tracheal resection anastomosis; tracheal stenosis.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
High resolution of CT of neck and thorax with three-dimensional reconstruction
Figure 2
Figure 2
Guardian suture and Guardian roll
Figure 3
Figure 3
Flow diagram of airway control strategy
Figure 4
Figure 4
Cross field ventilation
Figure 5
Figure 5
Ventilation-apnoea-ventilation technique
Figure 6
Figure 6
Tracheal anastamosis
See this image and copyright information in PMC

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