Abstract
The most important point of anesthetic management during the reconstruction of the tracheo-bronchial tree (TBT) is to secure the airway and to maintain adequate ventilation. We experienced 17 cases of reconstruction of the TBT. Various methods of ventilation were achieved; one-lung ventilation, right middle and lower lobes ventilation, and combinations of these. We used double-lumen tubes, single-lumen tubes with or without blocker, spiral tubes, and intravenous catheters. We selected an appropriate ventilation method suitable for the diverse operative modes and achieved satisfactory managements during operation.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Nunn JF: Respiratory aspects of anesthesia, Applied Respiratory Physiology. 3rd ed. Edited by Nunn JF, London, Butterworths, 1987, pp. 350–378
Benumof JL: Physiology of the open chest and one-lung ventilation, Thoracic Anesthesia. Edited by Kaplan JA, New York, Churchill Livingstone, 1983, pp. 287–316
Hayashi K, Ishida H, Kamagata S, Sanhonmatsu T, Nagashima M, Sugafuji S, Satsumahayashi K, Kijimoto T, Suzuki G: A case of tracheal plasty with ECMO in congenital tracheal stenosis. Jpn J Pediatr Surg 23:349, 1987
Nakamoto K, Maeda M, Nanjo S, Nakamura K: Theoretically possible modes of tracheobronchial plasty. Jpn Thorac Surg 40:12–17, 1987
Maeda M: Tracheobronchoplasty. Jpn Thorac Surg 40:1105–1120, 1987
Author information
Authors and Affiliations
About this article
Cite this article
Ogawa, T., Murayama, T., Shingu, K. et al. The ventilation management during the reconstruction of the tracheo-bronchial tree in adults. J Anesth 4, 9–19 (1990). https://doi.org/10.1007/s0054000040009
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s0054000040009