Tracheal Resection and Reconstruction

Abstract

The tracheal imaging (CT scan and/or MRI) must be examined by the anesthesiologist to plan the anesthetic management. Patients with tracheal stenosis may not become symptomatic until the tracheal diameter is narrowed to <50% of normal. Initial surgical management for tracheal stenosis will commonly involve rigid bronchoscopy and dilation. The two major methods of distal airway management for resection of tracheal stenosis are cross-field ventilation with an endotracheal tube or jet ventilation with a tracheal catheter. Maintenance of anesthesia during the period of tracheal resection is commonly managed with an intravenous infusion technique.