Biphasic Cuirass Ventilation During Anesthesia for Tracheobronchial Stent Insertion or Removal by a Rigid Bronchoscope

Abstract Tracheobronchial stent insertion is a common palliative intervention for the management of dynamic airway collapse due to severe tracheobronchomalacia or tracheal compression due to mass effect [1]. Airway stents are usually placed bronchoscopically with or without fluoroscopy. In more complex cases, airway stents are placed using a rigid bronchoscope under general anaesthesia with conventional or jet ventilation. In patients where advancement of a rigid bronchoscope into the distal airway or ventilation through a rigid bronchoscope may be difficult, pre-emptive awake veno-venous extracorporeal membrane oxygenation should be considered. This report is the first publication to describe a novel technique in a series of patients being treated for critical airway obstruction who would otherwise be at risk of respiratory arrest at the induction of anaesthesia.

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Anaesthesia for Tracheobronchial Stent Insertion Using an Laryngeal Mask Airway and High-Frequency Jet Ventilation

Case Reports in Medicine ◽

10.1155/2013/950437 ◽

2013 ◽

Vol 2013 ◽

pp. 1-5 ◽

Cited By ~ 5

Author(s):

Anne M. Dolan ◽

Michael F. Moore

Keyword(s):

Laryngeal Mask Airway ◽

High Frequency ◽

Malignant Tumour ◽

Laryngeal Mask ◽

Spontaneous Respiration ◽

Stent Insertion ◽

Jet Ventilation ◽

High Frequency Jet Ventilation ◽

Tracheobronchial Stent ◽

Surgical Field

An approach which promotes a rapid return to spontaneous respiration after tracheobronchial stent (TBS) insertion is considered the optimal one and is a belief shared by anaesthetists, respiratory physicians, and surgeons alike (Calvey and William (2008)). The value of the laryngeal mask airway (LMA), followed by use of the Monsoon 111 Acutronic jet ventilator pressure limiting system of ventilation, for the deployment of stents in the three individual cases that of tracheoesophageal fistula, a bronchoesophageal fistula, and tracheal compression from an invading oesophageal malignant tumour are reported. The roles of target controlled anaesthesia, high-frequency jet ventilation (HFJV), and the laryngeal mask airway in optimising the surgical field and reducing the risk of bronchospasm at emergence are advantages of this technique.

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Anesthetic Management of a Dynamic Tracheobronchial Stent Insertion Using Extracorporeal Lung Assist (ECLA).

THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA ◽

10.2199/jjsca.21.321 ◽

2001 ◽

Vol 21 (6) ◽

pp. 321-324 ◽

Cited By ~ 1

Author(s):

Kazuo NAKANISHI ◽

Ichiro SHIMIZU ◽

Kentaro DOTE ◽

Etsuo TABO ◽

Kyoji TSUNO ◽

...

Keyword(s):

Anesthetic Management ◽

Stent Insertion ◽

Extracorporeal Lung Assist ◽

Tracheobronchial Stent

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Anesthetic Management with PCPS for Tracheobronchial Stent Insertion

THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA ◽

10.2199/jjsca.37.25 ◽

2017 ◽

Vol 37 (1) ◽

pp. 25-28

Author(s):

Yuichi OGATA ◽

Takafumi HORISHITA ◽

Reiko TSUCHIYAMA ◽

Takashi KAWASAKI

Keyword(s):

Anesthetic Management ◽

Stent Insertion ◽

Tracheobronchial Stent

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The Clinical Usefulness of Biphasic Cuirass Ventilation in the Prevention of Hypoventilation During Interventional Bronchoscopy Using a Rigid Bronchoscope

CHEST Journal ◽

10.1378/chest.1388913 ◽

2012 ◽

Vol 142 (4) ◽

pp. 866A

Author(s):

Hibiki Kanda

Keyword(s):

Clinical Usefulness ◽

Interventional Bronchoscopy ◽

Rigid Bronchoscope ◽

Biphasic Cuirass Ventilation

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A Case of Esophagopleural Fistula Caused by Tracheobronchial Stent Insertion for Malignant Airway Stenosis Treated Successfully with Covered Esophageal Stent

Nihon Kikan Shokudoka Gakkai Kaiho ◽

10.2468/jbes.57.451 ◽

2006 ◽

Vol 57 (5) ◽

pp. 451-457

Author(s):

Kei Nishiya ◽

Sanafumi Niijima ◽

Hidenori Edo ◽

Jiro Terada ◽

Takayuki Ishii ◽

...

Keyword(s):

Esophageal Stent ◽

Stent Insertion ◽

Airway Stenosis ◽

Tracheobronchial Stent

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Silicone Y-stent insertion under extracorporeal membrane oxygenation (ECMO) in a patient with tracheal tear

BMJ Case Reports ◽

10.1136/bcr-2020-236414 ◽

2020 ◽

Vol 13 (12) ◽

pp. e236414

Author(s):

Nurul Yaqeen Mohd Esa ◽

Mohamed Faisal ◽

Saravanan Vengadesa Pilla ◽

Jamalul Azizi Abdul Rahaman

Keyword(s):

Extracorporeal Membrane Oxygenation ◽

Thoracoscopic Surgery ◽

Stent Insertion ◽

Rigid Bronchoscope ◽

Membrane Oxygenation ◽

Successful Recovery ◽

Tube Migration ◽

Tracheal Tear ◽

Side Port

Tracheal tear after endotracheal intubation is extremely rare. The role of silicone Y-stent in the management of tracheal injury has been documented in the previous studies. However, none of the studies have mentioned the deployment of silicone Y-stent via rigid bronchoscope with the patient solely supported by extracorporeal membrane oxygenation (ECMO) without general anaesthesia delivered via the side port of the rigid bronchoscope. We report a patient who had a tracheal tear due to endotracheal tube migration following a routine video-assisted thoracoscopic surgery sympathectomy, which was successfully managed with silicone Y-stent insertion. Procedure was done while she was undergoing ECMO; hence, no ventilator connection to the side port of the rigid scope was required. This was our first experience in performing Y-stent insertion fully under ECMO, and the patient had a successful recovery.

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