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Tracheal Resection and Reconstruction

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Left Lateral, head slightly extended
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : Moderate (4-6)
Maintenance Paralytic : Withhold until the airway is secured and ventilation proven, then relax fully so nothing moves at the open trachea.
Considerations : Airway Fire Risk, Arterial line

Anesthetic Approaches

1GETT, TIVA, Propofol Drip, Remifentanil Drip
2GETT, Epidural
The Surgery

Assessment - CT and bronchoscopy define the length of the lesion, its distance from the cords and the carina, and the residual lumen; that determines the approach and the tube that will fit. Approach...

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