RT Journal Article
SR Electronic
T1 Anesthesia for tracheal stenting
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P3768
VO 42
IS Suppl 57
A1 Milena Encheva
A1 Alexandra Saltirova
A1 Kosta Kostov
A1 Hristo Yordanov
YR 2013
UL http://erj.ersjournals.com/content/42/Suppl_57/P3768.abstract
AB Anesthesia for tracheal stenting (TS) requires collaboration between anesthesiologist and bronchologist.Before the intervention is necessary to discuss diagnostic-therapeutic algorithm and possible complications.The forms of anesthesia depend on the difficulty and length of the procedure and spans from mild sedation to general anesthesia.Aims:To demonstrate our experience in preoperative evaluation, premedication, induction and anesthesia for patients, undergoing TS and to assess the early recovery period.Materials and methods:A prospective study in 22 patients with clinically significant tracheal stenosis (benign-17; malignant-5); average age 45.A total number of placed stents-28: Dumon– 21, Montgomery-7.An ASA assessment of risk is made.Premedication depends on degree of respiratory failure.In all patients induction with propofol and an opioid is administered, followed by muscle relaxant and rigid bronchoscopic intubation.JET-ventilation is used as alternative to conventional ventilation.Post-operative monitoring until full recovery is carried out in order to avoid respiratory complications and rapidly emerging lifethreatening complications.Results: In all patients, induction and anesthesia have taken place according to pre-established algorithm.In one patient postoperative monitoring in ICU is made for 24 hours due to bronchospasme and respiratory failure. In the others postoperative monitoring and recovery were uncomplicated. Conclusions:The jet ventilation is an ideal method for guaranteeing oxygenation during TS, whether the patient is breathing spontaneously or is under general anaesthesia.The provision of anaesthesia for TS requires anaesthetist to be familiar with different airway management, ventilation and anaesthesia techniques.