Tracheal resection: the team brief in multi‐stage airway surgery
Autor: | E. Cervi, C. Ong |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Energy Engineering and Power Technology Case Reports respiratory system Airway obstruction medicine.disease Complete resection Tracheal resection Multi stage Fuel Technology medicine Airway management Intensive care medicine Airway business Airway surgery Tracheal segment |
Zdroj: | Anaesth Rep |
ISSN: | 2637-3726 |
DOI: | 10.1002/anr3.12037 |
Popis: | The multidisciplinary team brief and effective clinical decision‐making are critical to airway surgery. To illustrate this, we present the case of a 58‐year‐old female with papillary thyroid cancer invading the trachea. We describe a basic framework that was used to aid planning the management of this patient. Tracheal resection is a complex airway operation requiring the evaluation of airway obstruction risk, the formulation of strategies for complex airway management and lung ventilation during complete resection of the tracheal segment and a handover plan for safe tracheal extubation. We suggest that team performance is facilitated by a standardised structure for consideration of anticipated events and important decisions to be made before the operation. Furthermore, it can provide a platform to engage the team when unanticipated events occur and alternate plans have to be made in a time‐critical manner. |
Databáze: | OpenAIRE |
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