Clinical Thoracic Anesthesia by Unknown

Author:Unknown
Language: eng
Format: epub
ISBN: 9789811507465
Publisher: Springer Singapore

 Respiratory failure

 Pneumonia

 Pulmonary embolism

 Pneumothorax

 Myocardial infarction

 Deep vein thrombosis

 Atrial fibrillation

 Tetraplegia

 Guillain–Barré syndrome

Reproduced from Celine P (5). With permission from Springer nature. Copyright 1999

14.10 Regional Anesthesia

Regional anesthesia for tracheal resection has been explored since 2010 [54]. Literature mentions the use of four different regional anesthesia techniques:1.Cervical epidural catheters—Tracheal resection and anastomosis under cervical epidural placed at C7/T1 level with a local anesthetic like ropivacaine 0.5% has been reported [55]. In addition to epidural block, surgical site infiltration and airway topicalization with local anesthetic is required. These patients may need supplementation with analgesics and/or sedatives. Patients remain spontaneously breathing throughout the procedure with oxygen supplementation. On tracheal incision there may be desaturation which requires oxygen insufflation through a catheter inserted into the distal trachea. Only patients without cardiac comorbidity with subglottic lesions not requiring median sternotomy can be chosen for cervical epidural. They must also have no contraindications to neuraxial anesthesia.

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