Tubeless tracheal resection and reconstruction for management of benign stenosis

Autor: Sergio Castorina, Alfonso Fiorelli, Francesco Paolo Caronia, Domenico Loizzi, Tommaso Nicolosi
Přispěvatelé: Caronia, Francesco Paolo, Loizzi, Domenico, Nicolosi, Tommaso, Castorina, Sergio, Fiorelli, Alfonso
Rok vydání: 2017
Předmět:
Adult
Male
benign stenosi
medicine.medical_specialty
Lidocaine
Anastomosis
benign stenosis
Sedation
Stridor
Remifentanil
trachea
030204 cardiovascular system & hematology
Risk Assessment
surgery
03 medical and health sciences
Tracheostomy
0302 clinical medicine
awake anesthesia
Anastomosis
Surgical
Anesthesia
Local
Bronchoscopy
Follow-Up Studies
Humans
Patient Safety
Reconstructive Surgical Procedures
Respiratory Sounds
Tomography
X-Ray Computed
Trachea
Tracheal Stenosis
Tracheotomy
Treatment Outcome
Otorhinolaryngology2734 Pathology and Forensic Medicine
Surgical
medicine
Anesthesia
Local anesthesia
Dexmedetomidine
Tomography
business.industry
respiratory system
medicine.disease
X-Ray Computed
Surgery
Stenosis
Local
030228 respiratory system
Otorhinolaryngology
medicine.symptom
business
medicine.drug
Zdroj: Head & Neck. 39:E114-E117
ISSN: 1043-3074
DOI: 10.1002/hed.24942
Popis: Background We reported a tubeless tracheal resection and reconstruction for the management of benign posttracheostomy tracheal stenosis. Methods A 34-year-old man with stridor, severe respiratory distress, and recurrent pneumonia was referred to our attention for treatment of benign posttracheostomy tracheal stenosis. As he refused general anesthesia, the procedure was performed while he was under local anesthesia and spontaneous ventilation. Results Sedation was started with infusion of dexmedetomidine 0.7 mg/kg/min and of remifentanil 0.5 mg/kg/h; also, 40%-50% oxygen was delivered using a laryngeal mask at a rate of 3.5 mL/min. An additional dose of 2% lidocaine was injected into the surgical site during the operation to achieve an adequate level of anesthesia. A standard resection and reconstruction of trachea was carried out and no recurrence was found in the follow-up of 41 months. Conclusion Tubeless tracheal surgery seems to be a feasible and safe procedure. Larger prospective series should validate our results.
Databáze: OpenAIRE
Externí odkaz: