2020 International Video Contest, Tubless Tracheal Resection, Luciano Bulgarelli Maqueda

Traditionally, tracheal resection and reconstruction surgery requires a total control of the airway, with the implementation of methods such as cross-field ventilation, nasotracheal intubation and jet ventilation, among others, with a full cooperation and coordination with the anesthesia team. Despite this, after Macchiarini and colleagues’ experience in 2010, more series of cases have been reported demonstrating the feasibility of this procedure under spontaneous ventilation in fully awake or sedated patients. Recently, the topic gained new interest after other authors published new series and evidence, extending the approach even to carinal resections. The nonintubated strategy for tracheal resections stands on the avoidance of general anesthesia and its possible complications; the faster recovery and potentially fewer complications avoiding the use of opioid and muscle relaxant drugs; faster end-to-end anastomosis procedure, decreasing the tracheal edema; and the better assessment of the tracheal range of moving during spontaneous breathing potentially achieving a better anatomical reconstruction, among others. CTSnet.org Copyright reserved https://ctsnet.figshare.com/articles/Nonintubated_Tracheal_Resection/8984213/1

• Category: Other
• Duration: 08:27
• Date:  5 years ago
• Tags:   tubeless, non-intubated, non intubated, spontaneous breathing, trachea, tracheal resection, tracheal anastomosis, tracheal