Virmani S, Datt V, Tempe DK, Minhas HS, Meher R, Goswami AD, Sharma S, Malik I. Spontaneous bag mask ventilation for establishing cardiopulmonary bypass via mid-sternotomy in patients with severe tracheal stenosis: A series of three patients.
Ann Card Anaesth 2021;
23:241-245. [PMID:
32275048 PMCID:
PMC7336985 DOI:
10.4103/aca.aca_246_18]
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Abstract
In patients with critical tracheal stenosis, particularly involving the lower part of trachea, a highly experienced team of anesthesiologists to tackle the difficulties of securing and maintaining the ventilation, cardiac surgeon who can swiftly establish cardiopulmonary bypass, an experienced surgeon for tracheal reconstruction are a prerequisite for managing these highly complex cases. The present paper describes three patients suffering from severe tracheal narrowing wherein spontaneous bag-mask ventilation was used for establishing cardiopulmonary bypass via mid-sternotomy as a rare life-saving procedure for urgent tracheal reconstructive surgery. A highly experienced team of anesthesiologists to tackle the difficulties of securing and maintaining the ventilation, cardiac surgeon who can swiftly establish CPB, and an experienced surgeon for tracheal reconstruction are a prerequisite for managing these highly complex cases. The present paper describes three patients suffering from severe tracheal narrowing wherein spontaneous bag-mask ventilation was used for establishing CPB via mid-sternotomy as a rare life-saving procedure for urgent tracheal reconstructive surgery.
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