Tracheal Reconstruction after Post-Tracheostomy Tracheal Stenosis under Cross-Field Anesthesia

Tracheal reconstruction often presents as challenging job to surgical team specially the anesthesia. Keeping patient’s lung oxygenating during the operation is very critical in the absence of cardiopulmonary bypass. Complete tracheal resection with reconstruction by using endotracheal tube oxygenation is quite troublesome as one has to put patient without ventilatory support many times for a time being during reconstruction is being done. The present case deals with the same situation and elaborates successful outcome by using cross-field anesthesia and avoiding the use of cumbersome cardio-pulmonary bypass.

[1]  S. De,et al.  Post intubation tracheal stenosis , 2008, Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine.

[2]  J. Velly,et al.  Surgical treatment of nontumoral stenoses of the upper airway. , 1995, The Annals of thoracic surgery.

[3]  J. Wain,et al.  Postintubation tracheal stenosis ☆ ☆☆ ★ ★★ ♢: Treatment and results , 1995 .

[4]  W. Payne,et al.  Gross and microscopical blood supply of the trachea. , 1977, The Annals of thoracic surgery.

[5]  W. Montgomery Suprahyoid release for tracheal anastomosis. , 1974, Archives of otolaryngology.

[6]  F. Pearson,et al.  Tracheal stenosis complicating tracheostomy with cuffed tubes. Clinical experience and observations from a prospective study. , 1968, Archives of surgery.

[7]  T. Miura,et al.  The contribution of the inferior thyroid artery to the blood supply of the human trachea. , 1966, Surgery, gynecology & obstetrics.

[8]  T. Miura,et al.  EXTENSIVE RESECTION AND RECONSTRUCTION OF MEDIASTINAL TRACHEA WITHOUT PROSTHESIS OR GRAFT: AN ANATOMICAL STUDY IN MAN. , 1964, The Journal of thoracic and cardiovascular surgery.

[9]  Maher K. Tabba,et al.  Post tracheostomy and post intubation tracheal stenosis: Report of 31 cases and review of the literature , 2008 .

[10]  H. Grillo Notes on the windpipe. , 1989, The Annals of thoracic surgery.