Perioperative management of patients undergoing tracheal resection and reconstruction: a retrospective observational study
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Fecha
2022-02-18Autor(es) Corporativo(s)
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y Bioestadística
Tipo
Artículo de revista
ISSN
0104-0014 / 2352-2291 (Electrónico)
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Abstract
Background: Perioperative management of Tracheal Resection and Reconstruction (TRR)
presents many challenges to the physicians involved in airway management. Factors related to
postoperative outcomes can be identified as early as the preoperative setting and can even be
linked to demographic characteristics of patients affected by tracheal stenosis. The primary aim
of this study is to describe the experience of patients undergoing TRR at our hospital from an
anesthesiology perspective, describing as a second aim demography, preoperative conditions,
and postoperative complications.
Methods: This was a single institution retrospective review of patients who underwent TRR
between 2009 and 2020. We did a post-hoc exploratory analysis to identify possible associations
between perioperative complications and perioperative management.
Results: Forty-three ASA I−IV adult patients aged 18−72 years who underwent TRR were
included. Prolonged intubation (72%) is the primary cause of tracheal stenosis. Intraoperative
management: intravenous induction and laryngeal masks are now the most frequently used for air-
way management, especially in subglottic stenosis. Perioperative complications were vocal cord
paralysis (25.6%), postoperative ventilatory support (20.9%), and need for surgical reintervention
(20.9%). One patient (2%) died in the postoperative period due to anastomotic complication. After
resection, dexmedetomidine is the preferred choice (48.8%) for sedoanalgesia in the ICU.
Conclusions: Perioperative management of TRR at our hospital has a low mortality and high mor-
bidity rate. We did not find an association between perioperative anesthetic interventions and
postoperative complications. Further studies are needed to evaluate which anesthetic interven-
tions may be associated with better outcomes.
Cobertura espacial (Ciudades)
Bogotá (Colombia)Cobertura espacial
ColombiaCobertura temporal
2009-2020Comunidad
Pacientes con Estenosis traquealFuente
Brazilian Journal of Anesthesiology; Volumen 17 Número 3 , Páginas 331 - 337 (2022)
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