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Perioperative management of patients undergoing tracheal resection and reconstruction: a retrospective observational study

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dc.contributor.authorSegura Salguero, Juan Camilo
dc.contributor.authorDíaz Bohada, Lorena
dc.contributor.authorRuiz, Alvaro J.
dc.contributor.corporatenamePontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y Bioestadísticaspa
dc.contributor.javerianateacherRuiz, Alvaro J.
dc.coverage.cityBogotá (Colombia)
dc.coverage.spatialColombia
dc.coverage.temporal2009-2020
dc.date.accessioned2022-08-17T16:45:02Z
dc.date.available2022-08-17T16:45:02Z
dc.date.created2022-02-18
dc.description.abstractenglishBackground: 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.spa
dc.description.comunidadPacientes con Estenosis traqueal
dc.description.esciSispa
dc.description.indexingRevista Internacional - Indexadaspa
dc.description.orcidhttps://orcid.org/0000-0002-8620-6661
dc.description.orcidhttps://orcid.org/0000-0003-3863-8993
dc.description.orcidhttps://orcid.org/0000-0001-6528-4268
dc.formatPDFspa
dc.format.mimetypeapplication/pdfspa
dc.identifierhttps://www.sciencedirect.com/science/article/pii/S0104001422000252?via%3Dihub#!spa
dc.identifier.doihttps://doi.org/10.1016/j.bjane.2022.02.001spa
dc.identifier.instnameinstname:Pontificia Universidad Javerianaspa
dc.identifier.issn0104-0014 / 2352-2291 (Electrónico)spa
dc.identifier.reponamereponame:Repositorio Institucional - Pontificia Universidad Javerianaspa
dc.identifier.repourlrepourl:https://repository.javeriana.edu.cospa
dc.identifier.urihttp://hdl.handle.net/10554/61406
dc.language.isoengspa
dc.relation.citationendpage337spa
dc.relation.citationissue3spa
dc.relation.citationstartpage331spa
dc.relation.citationvolume17spa
dc.relation.ispartofjournalBrazilian Journal of Anesthesiologyspa
dc.rights.coarhttp://purl.org/coar/access_right/c_abf2spa
dc.rights.licenceAtribución-NoComercial 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectCirugía torácicaspa
dc.subjectEstenosis traquealspa
dc.subjectManejo de la vía aéreaspa
dc.subjectAnestesiaspa
dc.subject.keywordThoracic surgeryspa
dc.subject.keywordTracheal stenosisspa
dc.subject.keywordAirway managementspa
dc.subject.keywordAnesthesiaspa
dc.titlePerioperative management of patients undergoing tracheal resection and reconstruction: a retrospective observational studyspa
dc.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1spa
dc.type.hasversionhttp://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.localArtículo de revistaspa

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