Intraoperative airway management for patients with tracheal tumors: A case series of 37 patients

Abstract Background Tracheal tumors are rare. The aim of this case series was to investigate airway selection during radical surgery for patients with tracheal tumors. Methods Here, we performed a retrospective case review of patients with tracheal tumors who underwent tracheal surgery in our center...

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Autores principales:	Rong Gao, Xiaolan Gu, Shuai Zhang, Shuliang Ma, Lin Xu, Ming Li, Lianbing Gu
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	airway management anesthesia tracheal resection and reconstruction tracheal tumor Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/2a3e3e897f5245118bd0b4b487d28b70
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spelling	oai:doaj.org-article:2a3e3e897f5245118bd0b4b487d28b702021-11-14T23:28:26ZIntraoperative airway management for patients with tracheal tumors: A case series of 37 patients1759-77141759-770610.1111/1759-7714.14181https://doaj.org/article/2a3e3e897f5245118bd0b4b487d28b702021-11-01T00:00:00Zhttps://doi.org/10.1111/1759-7714.14181https://doaj.org/toc/1759-7706https://doaj.org/toc/1759-7714Abstract Background Tracheal tumors are rare. The aim of this case series was to investigate airway selection during radical surgery for patients with tracheal tumors. Methods Here, we performed a retrospective case review of patients with tracheal tumors who underwent tracheal surgery in our center. A total of 37 cases, including 26 patients with primary tracheal tumors and 11 cases with advanced thyroid cancer, were enrolled into the study. Baseline characteristics and differential prognosis of included patients were estimated. We summarize the strategies for intraoperative airway selection and analyze the risk factors associated with delayed extubation. Results There is a trend for primary tracheal tumors to appear toward the upper (9 of 26) and middle third (9 of 26) of the trachea, followed by the lower third airway (8 of 26). Advanced thyroid cancers occur most frequently in the upper trachea (7 of 11) and then the middle trachea (4 of 11). All primary and secondary patients underwent R0 resection. Minor histological subtypes were found to correlate with a poor prognosis. Extracorporeal support and tracheotomy intubation were applied in high‐risk cases, and a total of 32 patients achieved intrathoracic intubation during the surgical process. Intensive care unit (ICU) delay (>1 day) was observed among 25 patients, which were not enriched in cases who underwent cross‐field endotracheal intubation. Additionally, temporal suboptimal oxygenation (SpO2 < 95%) was an independent risk factor of ICU delay. Conclusions Airway selection plays an important role in successful tracheal surgery, and an appropriate ventilation routine depends on the patient and a surgical process which is safe and effective.Rong GaoXiaolan GuShuai ZhangShuliang MaLin XuMing LiLianbing GuWileyarticleairway managementanesthesiatracheal resection and reconstructiontracheal tumorNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENThoracic Cancer, Vol 12, Iss 22, Pp 3046-3052 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	airway management anesthesia tracheal resection and reconstruction tracheal tumor Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	airway management anesthesia tracheal resection and reconstruction tracheal tumor Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Rong Gao Xiaolan Gu Shuai Zhang Shuliang Ma Lin Xu Ming Li Lianbing Gu Intraoperative airway management for patients with tracheal tumors: A case series of 37 patients
description	Abstract Background Tracheal tumors are rare. The aim of this case series was to investigate airway selection during radical surgery for patients with tracheal tumors. Methods Here, we performed a retrospective case review of patients with tracheal tumors who underwent tracheal surgery in our center. A total of 37 cases, including 26 patients with primary tracheal tumors and 11 cases with advanced thyroid cancer, were enrolled into the study. Baseline characteristics and differential prognosis of included patients were estimated. We summarize the strategies for intraoperative airway selection and analyze the risk factors associated with delayed extubation. Results There is a trend for primary tracheal tumors to appear toward the upper (9 of 26) and middle third (9 of 26) of the trachea, followed by the lower third airway (8 of 26). Advanced thyroid cancers occur most frequently in the upper trachea (7 of 11) and then the middle trachea (4 of 11). All primary and secondary patients underwent R0 resection. Minor histological subtypes were found to correlate with a poor prognosis. Extracorporeal support and tracheotomy intubation were applied in high‐risk cases, and a total of 32 patients achieved intrathoracic intubation during the surgical process. Intensive care unit (ICU) delay (>1 day) was observed among 25 patients, which were not enriched in cases who underwent cross‐field endotracheal intubation. Additionally, temporal suboptimal oxygenation (SpO2 < 95%) was an independent risk factor of ICU delay. Conclusions Airway selection plays an important role in successful tracheal surgery, and an appropriate ventilation routine depends on the patient and a surgical process which is safe and effective.
format	article
author	Rong Gao Xiaolan Gu Shuai Zhang Shuliang Ma Lin Xu Ming Li Lianbing Gu
author_facet	Rong Gao Xiaolan Gu Shuai Zhang Shuliang Ma Lin Xu Ming Li Lianbing Gu
author_sort	Rong Gao
title	Intraoperative airway management for patients with tracheal tumors: A case series of 37 patients
title_short	Intraoperative airway management for patients with tracheal tumors: A case series of 37 patients
title_full	Intraoperative airway management for patients with tracheal tumors: A case series of 37 patients
title_fullStr	Intraoperative airway management for patients with tracheal tumors: A case series of 37 patients
title_full_unstemmed	Intraoperative airway management for patients with tracheal tumors: A case series of 37 patients
title_sort	intraoperative airway management for patients with tracheal tumors: a case series of 37 patients
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/2a3e3e897f5245118bd0b4b487d28b70
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Intraoperative airway management for patients with tracheal tumors: A case series of 37 patients

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