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Thorac Cardiovasc Surg Rep 2016; 05(01): 1-3
DOI: 10.1055/s-0035-1556061
Case Report: Thoracic
Georg Thieme Verlag KG Stuttgart · New York

Airway Management via Laryngeal Mask in Laryngotracheal Resection

Patrick Zardo
1   Department of Cardiothoracic Surgery, Otto von Guericke University, Magdeburg, Germany
,
Tom Kreft
2   Department of Anesthesiology and Intensive Care, Otto von Guericke University Magdeburg, Germany
,
Thomas Hachenberg
2   Department of Anesthesiology and Intensive Care, Otto von Guericke University Magdeburg, Germany
› Author Affiliations
Further Information

Publication History

19 February 2015

07 May 2015

Publication Date:
24 November 2015 (online)

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Abstract

We present a case of impassable subglottic stenosis scheduled for tracheal resection and reconstruction managed by establishing a supraglottic airway. Despite careful preoperative evaluation, the stenosis was localized higher than anticipated, rendering conventional intubation impossible. Laryngeal mask bridging to cross-field ventilation was feasible and jet ventilation and cardiopulmonary bypass were available as emergency strategies. Surgery and emergence went uneventful. Perioperative considerations are discussed in this report.

Keywords

thoracic surgery - airway management - tracheal surgery
 

  • References

  • 1 Wain Jr JC. Postintubation tracheal stenosis. Semin Thorac Cardiovasc Surg 2009; 21 (3) 284-289
    CrossrefPubMedSearch in Google Scholar
  • 2 Grillo HC, Donahue DM. Postintubation tracheal stenosis. Chest Surg Clin N Am 1996; 6 (4) 725-731
    PubMedSearch in Google Scholar
  • 3 Pinsonneault C, Fortier J, Donati F. Tracheal resection and reconstruction. Can J Anaesth 1999; 46 (5, Pt 1): 439-455
    CrossrefPubMedSearch in Google Scholar
  • 4 Empey DW. Assessment of upper airways obstruction. BMJ 1972; 3 (5825): 503-505
    CrossrefPubMedSearch in Google Scholar
  • 5 Blasberg JD, Wright CD. Surgical considerations in tracheal and carinal resection. Semin Cardiothorac Vasc Anesth 2012; 16 (4) 190-195
    CrossrefPubMedSearch in Google Scholar
  • 6 Donaldson AB, Meyer-Witting M, Roux A. Awake fibreoptic intubation under remifentanil and propofol target-controlled infusion. Anaesth Intensive Care 2002; 30 (1) 93-95
    CrossrefPubMedSearch in Google Scholar
  • 7 Asai T, Shingu K. Airway management of a patient with tracheal stenosis for surgery in the prone position. Can J Anaesth 2004; 51 (7) 733-736
    CrossrefPubMedSearch in Google Scholar
  • 8 Apfelbaum JL, Hagberg CA, Caplan RA , et al; American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2013; 118 (2) 251-270
    CrossrefPubMedSearch in Google Scholar
  • 9 Henderson JJ, Popat MT, Latto IP, Pearce AC ; Difficult Airway Society. Difficult Airway Society guidelines for management of the unanticipated difficult intubation. Anaesthesia 2004; 59 (7) 675-694
    CrossrefPubMedSearch in Google Scholar
  • 10 Braun U, Goldmann K, Hempel V, Krier C. Airway management. Leitlinien der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin. Anaesth Intensive Med 2004; 45: 302-306
    PubMedSearch in Google Scholar
  • 11 Asai T, Morris S. The laryngeal mask airway: its features, effects and role. Can J Anaesth 1994; 41 (10) 930-960
    CrossrefPubMedSearch in Google Scholar
  • 12 Asai T, Fujise K, Uchida M. Use of the laryngeal mask in a child with tracheal stenosis. Anesthesiology 1991; 75 (5) 903-904
    CrossrefPubMedSearch in Google Scholar
  • 13 Ahn HY, Su Cho J, Kim YD , i H. Surgical outcomes of post intubational or post tracheostomy tracheal stenosis: report of 18 cases in single institution. Ann Thorac Cardiovasc Surg 2015; 21 (1) 14-17
    CrossrefPubMedSearch in Google Scholar
  • 14 Piazza C, Del Bon F, Paderno A , et al. Complications after tracheal and cricotracheal resection and anastomosis for inflammatory and neoplastic stenoses. Ann Otol Rhinol Laryngol 2014; 123 (11) 798-804
    CrossrefPubMedSearch in Google Scholar
  • 15 Jahr JS, Miller JE, Hiruma J, Emaus K, You M, Meistelman C. Sugammadex: a scientific review including safety and efficacy, update on regulatory issues, and clinical use in Europe. Am J Ther 2015; 22 (4) 288-297
    CrossrefPubMedSearch in Google Scholar