Anesthetic considerations for tracheobronchial surgery Article Swipe
Anna Schleicher
,
Harald Groeben
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.21037/jtd.2020.02.52
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.21037/jtd.2020.02.52
Tracheobronchial pathology can be related to trauma, infection, tumor, or a combination of these. Per definition, planning for tracheobronchial surgery can be complicated by the overlap of anesthesiological interests in airway management and the primary surgical field. Therefore, following a detailed description of the stenosis, management of tracheobronchial surgery requires an interdisciplinary discussion and individualized planning of the procedure. There are several options for intraoperative ventilation depending on the exact localization of the defect. Hence, different tubes and ventilation techniques from cross-field ventilation, to jet ventilation, or even spontaneous breathing under regional anesthesia, have to be discussed. Moreover, an innovative ventilation mode called flow-controlled ventilation (FVC) has been developed, which allows to apply standard tidal volumes through a narrow-bore endotracheal tube. In addition, the Ventrain has been developed as an emergency device following the same technique of an active expiration based on the Venturi principle and a controlled gas flow. In critical situations, it allows even ventilation through the working channel of a bronchoscope. Overall, tracheobronchial surgery is performed under total intravenous anesthesia and the aim of an early extubation at the end of surgery. Airway management has to be discussed and planned between surgeon and anesthesiologist. All of the steps of the procedure need constant and clear communication.
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.21037/jtd.2020.02.52
- https://jtd.amegroups.com/article/viewFile/37650/pdf
- OA Status
- diamond
- Cited By
- 12
- References
- 13
- Related Works
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- OpenAlex ID
- https://openalex.org/W3013470224
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W3013470224Canonical identifier for this work in OpenAlex
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https://doi.org/10.21037/jtd.2020.02.52Digital Object Identifier
- Title
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Anesthetic considerations for tracheobronchial surgeryWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2020Year of publication
- Publication date
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2020-10-01Full publication date if available
- Authors
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Anna Schleicher, Harald GroebenList of authors in order
- Landing page
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https://doi.org/10.21037/jtd.2020.02.52Publisher landing page
- PDF URL
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https://jtd.amegroups.com/article/viewFile/37650/pdfDirect link to full text PDF
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YesWhether a free full text is available
- OA status
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diamondOpen access status per OpenAlex
- OA URL
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https://jtd.amegroups.com/article/viewFile/37650/pdfDirect OA link when available
- Concepts
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Medicine, Anesthetic, Anesthesia, SurgeryTop concepts (fields/topics) attached by OpenAlex
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12Total citation count in OpenAlex
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2025: 1, 2024: 3, 2022: 3, 2021: 2, 2020: 3Per-year citation counts (last 5 years)
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13Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.innovative | 99 |
| abstract_inverted_index.management | 31, 45, 186 |
| abstract_inverted_index.procedure. | 58 |
| abstract_inverted_index.techniques | 79 |
| abstract_inverted_index.anesthesia, | 92 |
| abstract_inverted_index.combination | 11 |
| abstract_inverted_index.complicated | 22 |
| abstract_inverted_index.cross-field | 81 |
| abstract_inverted_index.definition, | 15 |
| abstract_inverted_index.description | 41 |
| abstract_inverted_index.intravenous | 171 |
| abstract_inverted_index.narrow-bore | 118 |
| abstract_inverted_index.situations, | 152 |
| abstract_inverted_index.spontaneous | 88 |
| abstract_inverted_index.ventilation | 65, 78, 100, 104, 156 |
| abstract_inverted_index.endotracheal | 119 |
| abstract_inverted_index.localization | 70 |
| abstract_inverted_index.ventilation, | 82, 85 |
| abstract_inverted_index.bronchoscope. | 163 |
| abstract_inverted_index.communication. | 208 |
| abstract_inverted_index.individualized | 54 |
| abstract_inverted_index.intraoperative | 64 |
| abstract_inverted_index.flow-controlled | 103 |
| abstract_inverted_index.Tracheobronchial | 0 |
| abstract_inverted_index.tracheobronchial | 18, 47, 165 |
| abstract_inverted_index.anesthesiological | 27 |
| abstract_inverted_index.anesthesiologist. | 196 |
| abstract_inverted_index.interdisciplinary | 51 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 91 |
| corresponding_author_ids | https://openalex.org/A5058700001 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 2 |
| corresponding_institution_ids | https://openalex.org/I4210146447 |
| citation_normalized_percentile.value | 0.8613111 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |