Recommendations for Mechanical Ventilation During General Anesthesia for Trauma Surgery

2022 ◽  
Author(s):  
Kevin P. Blaine
Keyword(s):  
Mechanical Ventilation ◽  
General Anesthesia ◽  
Trauma Surgery

scholarly journals Airway management in a patient with an intratracheal tumor near the carina by a two-stage operation

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110145
Author(s):  
Chaerim Oh ◽  
Hyun Joo Kim
Keyword(s):  
Mechanical Ventilation ◽  
Airway Management ◽  
General Anesthesia ◽  
Distal Part ◽  
High Flow ◽  
Tracheal Resection ◽  
Two Stage ◽  
Partial Obstruction ◽  
Surgical Access ◽  
Surgical Field

In patients with intratracheal tumors, airway management while maintaining oxygenation and providing surgical access to the airway can be challenging. Here, we present a case of a two-stage operation to remove an intratracheal tumor causing partial obstruction near the carina. In the otorhinolaryngology department, a biopsy was performed during apnea under high-flow nasal oxygenation support. A few days later, a thoracic surgeon performed tracheal resection after sternotomy under general anesthesia. Mechanical ventilation was performed by inserting a sterile endotracheal tube in the resected distal part of the trachea in the surgical field for tracheal end-to-end anastomosis. Airway was successfully secured through close communication between teams of anesthesiologists and surgeons.

Effects of General Anesthesia, Muscle Paralysis, and Mechanical Ventilation on Pulmonary Nitrogen Clearance

1971 ◽  
Vol 35 (6) ◽  
pp. 591-601 ◽  
Author(s):  
Kai Rehder ◽  
David J. Hatch ◽  
Alan D. Sexier ◽  
Harold M. Marsh ◽  
Ward S. Fowler
Keyword(s):  
Mechanical Ventilation ◽  
General Anesthesia ◽  
Muscle Paralysis

Intraoperative Awareness

2018 ◽  
pp. 443-446
Author(s):  
Jennifer Knuth ◽  
Lindsay Gennari ◽  
John Cagino
Keyword(s):  
Risk Factors ◽  
General Anesthesia ◽  
Trauma Surgery ◽  
Rare Event ◽  
General Anesthetic ◽  
Intraoperative Awareness ◽  
Patient Reports ◽  
Increased Risk ◽  
Patient’S Outcome

Awareness following general anesthesia is a rare event; however, it may have significant impact on patient satisfaction and long-term morbidity. Detecting intraoperative awareness during a general anesthetic is difficult due to the fact that the signs and symptoms are often absent in documented cases of awareness. Often, intraoperative awareness goes unnoticed until a patient reports the experience. Anesthesiologists should be cognizant of the risk factors associated with an increased risk of intraoperative awareness. Cesarean section performed under general anesthesia, cardiac surgery, and trauma surgery all carry an increased risk. Anesthesiologists should consider patient specific risk factors involving a higher than expected anesthetic requirement in developing their anesthetic plan. In the event of intraoperative awareness, the anesthesiologist’s actions and interactions with the patient are critical in improving the patient’s’ outcome and minimizing long-term psychological stress. Anesthesiologists should acknowledge the event and create a supportive relationship with the patient.

An Evaluation of the Laryngeal Tube?? During General Anesthesia Using Mechanical Ventilation

2003 ◽  
pp. 1750-1755 ◽  
Author(s):  
Luis A. Gaitini ◽  
Sonia J. Vaida ◽  
Mostafa Somri ◽  
Victor Kaplan ◽  
Boris Yanovski ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
General Anesthesia ◽  
Laryngeal Tube

scholarly journals Variability in the Use of Protective Mechanical Ventilation During General Anesthesia

2018 ◽  
Vol 126 (2) ◽  
pp. 503-512 ◽  
Author(s):  
Karim S. Ladha ◽  
Brian T. Bateman ◽  
Timothy T. Houle ◽  
Myrthe A. C. De Jong ◽  
Marcos F. Vidal Melo ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
General Anesthesia ◽  
Protective Mechanical Ventilation

Oxygen Supplement During Endotracheal Intubation of the Infant

PEDIATRICS ◽  
1977 ◽  
Vol 59 (6) ◽  
pp. 1046-1048
Author(s):  
Jen-Tien Wung ◽  
Raymond I. Stark ◽  
Leonard Indyk ◽  
John M. Driscoll
Keyword(s):  
Mechanical Ventilation ◽  
General Anesthesia ◽  
Endotracheal Intubation ◽  
Oxygen Concentration ◽  
Subcutaneous Emphysema ◽  
Oxygen Supply ◽  
Nasal Passage ◽  
Prolonged Administration ◽  
Ambient Oxygen ◽  
Oxygen Supplement

Endotracheal intubation is indicated for maintaining an efficient airway, for preventing aspiration and permitting pulmonary toilet, and for prolonged administration of mechanical ventilation or general anesthesia for many types of operations.1,2 Laryngoscopy and intubation may result in injury to the lips, gums, tongue, nasal passage, larynx, or trachea. Additional complications include mediastinal and subcutaneous emphysema and pneumothorax.3 These complications can be minimized if hypoxia can be prevented and laryngoscopy is performed in an unhurried manner. Patients who require a high ambient oxygen concentration in order to maintain an adequate PO2 usually react rapidly to an interruption of the oxygen supply by developing bradycardia and hypoxia. See Image in the PDFfile

Aspects of Mechanical Ventilation Affecting Interatrial Shunt Flow During General Anesthesia

1992 ◽  
Vol 75 (4) ◽  
pp. 484???488 ◽  
Author(s):  
Richard A. Jaffe ◽  
Fausto J. Pinto ◽  
Ingela Schnittger ◽  
Lawrence C. Siegel ◽  
Bengt Wranne ◽  
...  
Keyword(s):  
Mechanical Ventilation ◽  
General Anesthesia ◽  
Shunt Flow ◽  
Interatrial Shunt
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