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Thorac Cardiovasc Surg Rep. 2016 Dec;5(1):1-3. doi: 10.1055/s-0035-1556061. Epub 2015 Nov 24.

Airway Management via Laryngeal Mask in Laryngotracheal Resection.

The Thoracic and cardiovascular surgeon reports

Patrick Zardo, Tom Kreft, Thomas Hachenberg

Affiliations

  1. Department of Cardiothoracic Surgery, Otto von Guericke University, Magdeburg, Germany.
  2. Department of Anesthesiology and Intensive Care, Otto von Guericke University Magdeburg, Germany.

PMID: 28018809 PMCID: PMC5177429 DOI: 10.1055/s-0035-1556061

Abstract

We present a case of impassable subglottic stenosis scheduled for tracheal resection and reconstruction managed by establishing a supraglottic airway. Despite careful preoperative evaluation, the stenosis was localized higher than anticipated, rendering conventional intubation impossible. Laryngeal mask bridging to cross-field ventilation was feasible and jet ventilation and cardiopulmonary bypass were available as emergency strategies. Surgery and emergence went uneventful. Perioperative considerations are discussed in this report.

Keywords: airway management; thoracic surgery; tracheal surgery

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