Universität zu Köln

Ahuja, Sanchit ORCID: 0000-0001-8226-6803, Cohen, Barak, Hinkelbein, Jochen, Diemunsch, Pierre and Ruetzler, Kurt ORCID: 0000-0003-0467-1736 (2016). Practical anesthetic considerations in patients undergoing tracheobronchial surgeries: a clinical review of current literature. J. Thorac. Dis., 8 (11). S. 3431 - 3442. HONG KONG: PIONEER BIOSCIENCE PUBL CO. ISSN 2077-6624

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Abstract

Tracheobronchial surgeries require close cooperation and extensive communication between the anesthesia providers and the surgeons. Anesthetic management of tracheal and bronchial pathologies differ basically from regular upper airways management, due access to the patients airway is limited, mostly even practically impossible for the anesthesia providers. As a consequence, the surgeon overtakes responsibility for the airway access from the anesthesia provider in the variety of the cases. Preoperative recognition of a difficult airway, detailed planning and being aware of plan B and plan C are the elementary keys to success. Providers have to be aware, that preoperative airway assessment does not always correlate with the ease of oxygenation and ventilation. Therefore, various methods have been described in the literature and several authors have adopted unique ways to manage the airways in a successful manner. With the advancement of surgical techniques over the years, anesthetic management has also evolved tremendously to match the needs. The commonly encountered conditions requiring surgical interventions include post-intubation stenosis and foreign body aspiration. In this review we will discuss the most common pathologies of tracheobronchial lesions and specific anesthetic management considerations related to them.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ahuja, Sanchit UNSPECIFIED orcid.org/0000-0001-8226-6803 UNSPECIFIED Cohen, Barak UNSPECIFIED UNSPECIFIED UNSPECIFIED Hinkelbein, Jochen UNSPECIFIED UNSPECIFIED UNSPECIFIED Diemunsch, Pierre UNSPECIFIED UNSPECIFIED UNSPECIFIED Ruetzler, Kurt UNSPECIFIED orcid.org/0000-0003-0467-1736 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-257883
DOI:	10.21037/jtd.2016.11.57
Journal or Publication Title:	J. Thorac. Dis.
Volume:	8
Number:	11
Page Range:	S. 3431 - 3442
Date:	2016
Publisher:	PIONEER BIOSCIENCE PUBL CO
Place of Publication:	HONG KONG
ISSN:	2077-6624
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language FOREIGN-BODY ASPIRATION; PLAIN CHEST RADIOGRAPHY; VIRTUAL BRONCHOSCOPY; TRACHEAL RESECTION; AIRWAY-OBSTRUCTION; RIGID BRONCHOSCOPY; MEDIASTINAL MASS; RISK-FACTORS; FLEXIBLE BRONCHOSCOPY; PEDIATRIC-PATIENTS Multiple languages Respiratory System Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/25788