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Spontaneous breathing anesthesia for cervical tracheal resection and reconstruction
Yanran Zhou1, Hui Liu1, Xi Wu1
1Department of Anesthesiology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
Journal of Thoracic Disease
|February 8, 2020
Summary
Spontaneous breathing anesthesia (SBA) is a feasible alternative for cervical tracheal resection and reconstruction (TRR). This technique offers potential advantages over general anesthesia for select patients undergoing TRR.
Area of Science:
- Anesthesiology
- Thoracic Surgery
Background:
- General anesthesia for cervical tracheal resection and reconstruction (TRR) presents challenges, including endotracheal intubation complications.
- Spontaneous breathing anesthesia (SBA) may offer an alternative with potential benefits.
Purpose of the Study:
- To evaluate the feasibility and outcomes of SBA for cervical TRR.
Main Methods:
- Prospective study of 35 patients undergoing cervical TRR from May 2015 to March 2019.
- Anesthesia involved intravenous sedation and ultrasound-guided bilateral superficial cervical plexus block (CPB).
Main Results:
- 32 patients had tracheal tumors, 3 had post-intubation tracheal stenosis.
- 29 patients maintained stable spontaneous breathing after airway opening.
- 1 patient required high-frequency jet ventilation, and 1 required anesthesia conversion.
Conclusions:
- Spontaneous breathing anesthesia is a viable option for cervical TRR.
- SBA can serve as an alternative anesthetic technique for specific patient populations undergoing TRR.
Keywords:
Spontaneous breathing anesthesia (SBA)cervical plexus block (CPB)tracheal resection and reconstruction (TRR)More Related Videos
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