Emergency Management of Tracheal Stenosis

1980 ◽  
Vol 89 (1) ◽  
pp. 46-48
Author(s):  
Isaac Eliachar ◽  
Kurt Simon ◽  
Jesmond H. Birkhan ◽  
Henry Z. Joachims
Keyword(s):  
Emergency Management ◽  
Endotracheal Tube ◽  
Tracheal Stenosis ◽  
Airway Patency ◽  
Cuffed Endotracheal Tube ◽  
Temporary Relief ◽  
Small Gauge ◽  
A New Technique ◽  
Definitive Surgery ◽  
Stenotic Segment

A new technique for immediate though temporary relief of airway obstruction due to tracheal stenosis is described. Introduction of a small gauge cuffed endotracheal tube past the stenotic segment, followed by repeated withdrawal with the cuff inflated, allows for effective and safe retrograde bougienage. Airway patency is maintained throughout. Following this procedure introduction of an endotracheal tube or tracheostomy cannula is facilitated and definitive surgery can be planned.

Tracheal stenosis associated with a low pressure cuffed endotracheal tube

Anaesthesia ◽  
1976 ◽  
Vol 31 (4) ◽  
pp. 504-507 ◽  
Author(s):  
T. L. BRADBEER ◽  
M. L. JAMES ◽  
J. W. SEAR ◽  
J. F. SEARLE ◽  
R. Stacey
Keyword(s):  
Endotracheal Tube ◽  
Tracheal Stenosis ◽  
Low Pressure ◽  
Cuffed Endotracheal Tube

scholarly journals Cervical tracheal resection without intubation

2021 ◽  
Vol 102 (3) ◽  
pp. 381-388
Author(s):  
A A Akopov ◽  
M G Kovalev
Keyword(s):  
Endotracheal Tube ◽  
Tracheal Stenosis ◽  
Airway Device ◽  
Early Postoperative Period ◽  
Supraglottic Airway ◽  
Tracheal Resection ◽  
Supraglottic Airway Device ◽  
Airway Patency ◽  
Surgical Interventions ◽  
Tube Removal

Aim. To present the experience in a new approach for the surgical treatment of cicatricial cervical tracheal stenosis tracheal resection without using an endotracheal tube. Methods. The technique includes preliminary metal stent placement instead of bougienage in the stenosis zone; introduction of the supraglottic airway device I-Gel instead of the endotracheal tube and; jet ventilation through the supraglottic airway device. The stent is removed together with the resected trachea. The technique of cervical tracheal resection using the supraglottic airway device was implemented in 22 patients with cicatricial tracheal stenosis. Results. The resection length ranged from 15 to 45 mm (on average, 273 mm). The duration of surgical interventions ranged from 65 to 180 minutes (on average, 1099 minutes). Preliminary stenting excluded preoperative bougienage of the trachea and facilitated intraoperative assessment of the extent of the stenosis. The absence of an endotracheal tube facilitated the formation of anastomosis of the trachea, eliminated the risk of trauma to the anastomosis during tube removal. There were no complications in the early postoperative period. The length of postoperative hospital stay ranged from10 to 14 days (on average, 122 days). No restenosis was detected at long term follow-up. Conclusion. Performing tracheal resection without intubation allows the surgeon to work comfortably, observing the safety conditions for ensuring airway patency throughout the operation by installing a supraglottic airway device.

scholarly journals Rapid Establishment of Tracheal Stenosis in Pigs Using Endotracheal Tube Cuff Overpressure and Electrocautery

2021 ◽  
Vol 41 (2) ◽  
pp. 329-335
Author(s):  
Jin Hyoung Kim ◽  
Jong Joon Ahn ◽  
Yangjin Jegal ◽  
Soohyun Bae ◽  
Soon Eun Park ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Tracheal Stenosis ◽  
Endotracheal Tube Cuff ◽  
Tube Cuff

scholarly journals Difficult intubation and anesthetic management in an adult patient with undiagnosed congenital tracheal stenosis: a case report

2020 ◽  
Vol 48 (4) ◽  
pp. 030006052091126
Author(s):  
Ji-A Song ◽  
Hong-Beom Bae ◽  
Jeong-Il Choi ◽  
Jeonghyeon Kang ◽  
Seongtae Jeong
Keyword(s):  
Case Report ◽  
Difficult Airway ◽  
Endotracheal Tube ◽  
Adult Patient ◽  
Tracheal Stenosis ◽  
Difficult Intubation ◽  
Anesthetic Management ◽  
Congenital Tracheal Stenosis ◽  
Post Intubation ◽  
Unusual Situation

In the operating room, unanticipated difficult intubation can occur and anesthesiologists can experience challenging situations. Undiagnosed tracheal stenosis caused by congenital factors, trauma, tumors, or post-intubation injury, can make advancing the endotracheal tube difficult. We present an adult patient in whom we were unable to pass an endotracheal tube into the trachea. This was caused by undiagnosed congenital mid-tracheal stenosis with complete tracheal rings. When faced with an unanticipated difficult airway, the anesthesiologist needs to comprehend the results of preoperative evaluations. If an unusual situation (e.g., congenital tracheal stenosis) occurs, active cooperation with other departments should be considered.

Cuffed endotracheal tubes in children: the effect of the size of the cuffed endotracheal tube on intracuff pressure

2017 ◽  
Vol 27 (5) ◽  
pp. 494-500 ◽  
Author(s):  
Senthil G. Krishna ◽  
Mumin Hakim ◽  
Roby Sebastian ◽  
Heather L. Dellinger ◽  
Dmitry Tumin ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Intracuff Pressure ◽  
Endotracheal Tubes ◽  
Cuffed Endotracheal Tube

Effect of upper airway CO2 on breathing in awake ponies

1985 ◽  
Vol 59 (4) ◽  
pp. 1222-1227 ◽  
Author(s):  
H. V. Forster ◽  
L. G. Pan ◽  
C. Flynn ◽  
G. E. Bisgard ◽  
R. E. Hoffer
Keyword(s):  
Endotracheal Tube ◽  
Environmental Temperature ◽  
Upper Airway ◽  
Gas Mixture ◽  
Upper Airways ◽  
Co2 Gas ◽  
Arterial Pco2 ◽  
Cuffed Endotracheal Tube ◽  
Breathing Room ◽  
Sensory Mechanism

We determined whether the [CO2] in the upper airways (UA) can influence breathing in ponies and whether UA [CO2] contributes to the attenuation of a thermal tachypnea during periods of elevated inspired CO2. Six ponies were studied 1 mo after chronic tracheostomies were created. For one protocol the ponies were breathing room air through a cuffed endotracheal tube. Another smaller tube was placed in the tracheostomy and directed up the airway. By use of this tube, a pump, and prepared gas mixtures, UA [CO2] was altered without affecting alveolar or arterial PCO2. When the ponies were at a neutral environmental temperature (TA) and breathing frequency (f) was 8 breaths X min-1, increasing UA [CO2] up to 18–20% had no effect on f. However, when TA was increased 20 degrees C to increase f to 50 breaths X min-1, then increasing UA [CO2] to 6% or to 18–20% reduced f by 5 +/- 1.7 (SE) and 12 +/- 1.6 breaths X min-1, respectively (t = 3.3, P less than 0.01). These data suggest that in the pony there exists a UA CO2-H+ sensory mechanism. For a second protocol the ponies were breathing a 6% CO2 gas mixture for 15 min in the normal fashion over the entire airway (nares breathing, NBr) or they were breathing this gas mixture for 15 min through the cuffed endotracheal tube (TBr). At a neutral TA, increasing inspired [CO2] to 6% resulted in a 6-breaths X min-1 increase in f during both NBr and TBr.

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