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Transuterine Fetal Tracheal Occlusion Model in Mice
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APPLICATION OF APNEIC OXYGENATION IN TRACHEAL SURGERY.

A V Alekseev, M A Vyzhigina, A A Bunyatyan

    Anesteziologiia I Reanimatologiia
    |June 23, 2018
    PubMed
    Summary
    This summary is machine-generated.

    Apneic oxygenation (AO) effectively maintains oxygen levels during tracheal surgery. While it can cause mild acidosis and increased CO2, it does not lead to dangerous hemodynamic changes.

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    Area of Science:

    • Anesthesiology
    • Thoracic Surgery

    Background:

    • Tracheal surgery requires maintaining gas exchange, with various historical methods.
    • Apneic oxygenation (AO) has gained recent interest for airway procedures.

    Purpose of the Study:

    • To evaluate the impact of apneic oxygenation (AO) on gas exchange and acid-base balance.
    • Assessing AO's effects in patients undergoing reconstructive tracheal and bronchial surgery.

    Main Methods:

    • Study included 130 patients with stenotic tracheal disease.
    • Operations were performed between 2011 and 2014 utilizing AO.

    Main Results:

    • AO application ensured high oxygenation levels (Pa O₂).
    • Moderate increases in pCO2 and development of acidosis were observed.
    • Hypercarbia and acidosis did not cause hemodynamic disturbances.

    Conclusions:

    • Apneic oxygenation is a viable method for gas exchange during tracheal surgery.
    • The technique provides adequate oxygenation without significant cardiovascular compromise.