Stoica R, Cordoş I
Secţia de ATI, Institutul de Pneumoftiziologie Marius Nasta, Bucureşti.
Chirurgia (Bucur). 2007 Nov-Dec;102(6):681-6.
A retrospective study of anesthetic and surgical techniques involved in 55 consecutive cases of tracheal and carinal resections completed from 2001 to 2007, is presented. The anesthetic maneuvers and surgical approach differed in relation with the site of the tracheal lesions (upper, middle, lower trachea or carinal), the degree of the obstruction, the emergency of the surgical intervention and the concomitant presence of the eso-tracheal fistula. Ventilatory support during anesthesia involved special equipment adapted to the particular techniques used in this type of surgery. Cross field intubation of trachea or a mainstem bronchus, and High Frequency Jet Ventilation-HFJV- have been frequently used. Perfect coordination of the anesthetic techniques with every surgical step is mandatory and for good long term results special anesthetic equipment and a good preoperative anesthetic and surgical assessment of the strategy is needed.
本文对2001年至2007年间连续完成的55例气管及隆突切除术所涉及的麻醉和手术技术进行了回顾性研究。麻醉操作和手术方法因气管病变部位（气管上段、中段、下段或隆突）、梗阻程度、手术干预的紧急程度以及气管食管瘘的并存情况而异。麻醉期间的通气支持需要使用适合此类手术特定技术的特殊设备。气管或主支气管的交叉野插管以及高频喷射通气（HFJV）已被频繁使用。麻醉技术与每个手术步骤的完美协调是必不可少的，为了获得良好的长期效果，需要特殊的麻醉设备以及对术前麻醉和手术策略进行良好的评估。
