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Tracheal and Bronchial Surgery: HJFV

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Anesthesia in Thoracic Surgery

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Abstract

Tracheal and main bronchial resections with reconstruction pose considerable problems during anesthesia, especially with regard to ventilation, so they require preoperative planning and perfect intraoperative coordination between the anesthetic and surgical teams. In this respect, there are significant differences depending on site—whether tracheal, carinal or tracheobronchial—and on the degree of the airway stenosis. Additional equipment, especially related to High Frequency Jet Ventilation, and specific skills of the healthcare professionals are mandatory. High frequency jet ventilation is used both in the moments leading up to the interventional bronchoscopy and during the surgical intervention. Although rarely used in adults, an extracorporeal assist device must be at hand for “rescue therapyˮ, with extracorporeal membrane oxygenation being used the most. Having specialized centers for this type of interventions, which sometimes prove very complex, is key for low post-operative mortality.

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Change history

  • 16 June 2020

    The book was published with a mistake in references 25 (names of authors and journal) as below.

Abbreviations

3D:

Tridimensional

BIS:

Bispectral index

DLT:

Double lumen tube

ECMO:

Extracorporeal membrane oxygenation

EEG:

Electroencephalogram

ETT:

Endotracheal tube

HFJV:

High frequency jet ventilation

ILTS:

Idiopathic laryngotracheal stenosis

MPR:

Multiplanar reconstruction

PEEP:

Positive end-expiratory pressure

PIP:

Peak inspiratory pressure

PITS:

Post-intubation tracheal stenosis

TIVA:

Total intravenous anesthesia

TEF:

Tracheoesophageal fistulas

VE:

Virtual bronchoscopy

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Author information

Authors and Affiliations

  1. Department of Anesthesiology and Intensive Care, Marius Nasta Institute of Pulmonology, Bucharest, Romania

    Radu Stoica

  2. Titu Maiorescu Faculty of Medicine, Bucharest, Romania

    Radu Stoica

  3. Department of Thoracic Surgery, Marius Nasta Institute of Pulmonology, Bucharest, Romania

    Ioan Cordos

  4. Carol Davila University of Medicine and Pharmacy, Bucharest, Romania

    Ioan Cordos

Authors
  1. Radu Stoica
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  2. Ioan Cordos
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Editor information

Editors and Affiliations

  1. Consorcio Hospital General Universitario, Valencia, Spain

    Manuel Granell Gil

  2. Istanbul Medical Faculty, Department of Anaesthesiology, Istanbul University, Istanbul, Turkey

    Mert Şentürk

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Stoica, R., Cordos, I. (2020). Tracheal and Bronchial Surgery: HJFV. In: Granell Gil, M., Şentürk, M. (eds) Anesthesia in Thoracic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-28528-9_23

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  • DOI: https://doi.org/10.1007/978-3-030-28528-9_23

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