Extubation of the surgically resected airway - A role for remifentanil and propofol infusions

Canadian Journal of Anesthesia

Volumn 53, Issue 5, 2006, Pages 507-511

  Saravanan, Palanikumar ^a   Marnane, Conor ^b   Morris, Edmund A J ^b  

^a BRISTOL ROYAL INFIRMARY   (United Kingdom)

^b SOUTHMEAD HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ALFENTANIL; PROPOFOL; REMIFENTANIL;

ADULT; ANASTOMOSIS; ANASTOMOSIS DEHISCENCE; ARTICLE; ARTIFICIAL VENTILATION; CASE REPORT; COOPERATION; DRUG INFUSION; DRUG USE; EXTUBATION; FIBEROPTIC BRONCHOSCOPY; GENERAL ANESTHESIA; HIGH RISK PATIENT; HUMAN; INTUBATION; MALE; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; SEDATION; SUTURING METHOD; TRACHEA RESECTION; TRACHEA STENOSIS; TREATMENT FAILURE;

ADULT; ANALGESICS, OPIOID; ANASTOMOSIS, SURGICAL; ANESTHETICS, INTRAVENOUS; BLOOD PRESSURE; BRONCHOSCOPES; CONSCIOUS SEDATION; FIBER OPTICS; HEART RATE; HUMANS; INFUSIONS, INTRAVENOUS; INTUBATION, INTRATRACHEAL; MALE; OXYGEN; PIPERIDINES; PROPOFOL; RESPIRATION, ARTIFICIAL; TRACHEAL STENOSIS;

EID: 33745793879     PISSN: 0832610X     EISSN: None     Source Type: Journal    
DOI: 10.1007/BF03022625     Document Type: Article

References (25)

1. Magnusson L, Lang FJ, Monnier P, Ravussin P. Anaesthesia for tracheal resection: report of 17 cases. Can J Anaesth 1997; 44: 1282-5.
2. Pinsonneault C, Fortier J, Donati F. Tracheal resection and reconstruction. Can J Anesth 1999; 46: 439-55.
3. Wright CD, Grillo HC, Wain JC, et al. Anastomotic complications after tracheal resection: prognostic factors and management. J Thorac Cardiovasc Surg 2004; 128: 731-9.
4. Grillo HC, Donahue DM. Postintubation tracheal stenosis. Chest Surg Clin N Am 1996; 6: 725-31.
5. Noppen M, Schlesser M, Meysman M, D'Haese J, Peche R, Vincken W. Bronchoscopic balloon dilatation in the combined management of postintubation stenosis of the trachea in adults. Chest 1997; 112: 1136-40.
6. Nesbitt JC, Carrasco H. Expandable stents. Chest Surg Clin N Am 1996; 6: 305-28.
7. Rosen FS, Pou AM, Buford WL. Tracheal resection with primary anastomosis in cadavers: the effects of releasing maneuvers and length of tracheal resection on tension. Ann Otol Rhinol Laryngol 2003; 112: 869-76.
8. Yokomise H, Inui K, Wada H, Ueda M, Hitomi S, Itoh H. Split transplantation of the trachea: a new operative procedure for extended tracheal resection. J Thorac Cardiovasc Surg 1996; 112: 314-8.
9. Mueller DK, Becker J, Schell SK, Karamchandani KM, Munns JR, Jaquet B. An alternative method of neck flexion after tracheal resection. Ann Thorac Surg 2004; 78: 720-1.
10. Chen EH, Logman ZM, Glass PS, Bilfinger TV. A case of tracheal injury after emergent endotracheal intubation: a review of the literature and causalities. Anesth Analg 2001; 93: 1270-1.
11. Asai T, Koga K, Vaughan RS. Respiratory complications associated with tracheal intubation and extubation. Br J Anaesth 1998; 80: 767-75.
12. Caplan RA, Benumof JL, Berry FA, et al. Practice guidelines for management of the difficult airway. A report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 1993; 78: 597-602.
13. Miller KA, Harkin CP, Bailey PL. Postoperative tracheal extubation. Anesth Analg 1995; 80: 149-72.
14. Daley MD, Norman PH, Coveler LA. Tracheal extubation of adult surgical patients while deeply anesthetized: a survey of United States anesthesiologists. J Clin Anesth 1999; 11: 445-52.
15. Valley RD, Freid EB, Bailey AG, et al. Tracheal extubation of deeply anesthetized pediatric patients: a comparison of desflurane and sevoflurane. Anesth Analg 2003; 96: 1320-4.
16. Inomata S, Yaguchi Y, Taguchi M, Toyooka H. End-tidal sevoflurane concentration for tracheal extubation (MACEX) in adults: comparison with isoflurane. Br J Anaesth 1999; 82: 852-6.
17. Donaldson AB, Meyer-Witting M, Roux A. Awake fibreoptic intubation under remifentanil and propofol target-controlled infusion. Anaesth Intensive Care 2002; 30: 93-5.
18. Puchner W, Egger P, Puhringer F, Lockinger A, Obwegeser J, Gombotz H. Evaluation of remifentanil as single drug for awake fiberoptic intubation. Acta Anaesthesiol Scand 2002; 46: 350-4.
19. Machata AM, Gonano C, Holzer A, et al. Awake nasotracheal fiberoptic intubation: patient comfort, intubating conditions, and hemodynamic stability during conscious sedation with remifentanil. Anesth Analg 2003; 97: 904-8.
20. Kulkarni A, Price G, Saxena M, Skowronski G. Difficult extubation: calming the sympathetic storm. Anaesth Intensive Care 2004; 32: 413-6.
21. Shajar MA, Thompson JP, Hall AP, Leslie NA, Fox AJ. Effect of remifentanil bolus dose on the cardiovascular response to emergence from anaesthesia and tracheal extubation. Br J Anaesth 1999; 83: 654-6.
22. Nakagawa H, Komatsu R, Hayashi K, Isa K, Tanaka Y. Fiberoptic evaluation of the difficult extubation. Anesthesiology 1995; 82: 785-6.
23. Popat MT, Dravid RM, Watt-Smith SR. Use of the flexible intubating fibrescope for tracheal re-intubation in a patient with difficult extubation. Anaesthesia 1999; 54: 359-61.
24. Asai T. Use of the laryngeal mask after tracheal extubation (Letter). Can J Anesth 1999; 46: 997-8.
25. Dob DP, Shannon CN, Bailey PM. Efficacy and safety of the laryngeal mask airway vs Guedel airway following tracheal extubation. Can J Anesth 1999; 46: 179-81.