Bibliographic Details
| Title: |
Manejo anestésico en cirugía de traqueoplastia en un paciente con estenosis traqueal por intubación prolongada. |
| Alternate Title: |
Anesthetic management for traqueoplasty surgery in a patient with stenosis tracheal for prolonged intubation. |
| Authors: |
Mendoza López, Ramiro Wilberth1 wilberthmelo@gmail.com, Nieto Rodríguez, Miguel Ángel2, Motta Amézquita, Luis Gerardo3 |
| Source: |
Revista de Sanidad Militar. nov/dic2017, Vol. 71 Issue 6, p559-564. 6p. 4 Color Photographs, 2 Black and White Photographs. |
| Abstract (English): |
Introduction: Tracheal stenosis after prolonged intubation is a pathology that represents a challenge for the anesthesiologist. Within its management, it must guarantee a permeable airway, adequate oxygenation, hemodynamic stability, adequate extubation and postoperative care. The selection of the treatment depends on the clinical condition of the patient and the tracheal anatomy. Objectives: To show the anesthetic management used in a patient undergoing tracheoplasty. Clinical case: Patient with tracheal stenosis secondary to prolonged intubation with conservative management based on a cannula of Montgomery for six months with poor response to treatment, restenosis upon removal from the same, so he underwent tracheoplasty. The pre-anesthesia assessment performed is described. The premedication and the anesthetic plan are also exposed, with special emphasis on the transoperative as well as the postoperative care of the patient. Conclusions: Tracheoplasty is a relatively rare surgery, but one of the most challenging for anesthesiologists. To anticipate the course of surgery and design a successful anesthetic plan, it is necessary to understand the cause and characteristics of the tracheal lesion as well as the preoperative evaluation of the patient with tracheal stenosis. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): |
Introducción: La estenosis traqueal postintubación prolongada es una patología que representa un desafío para el anestesiólogo. Dentro de su manejo tiene que garantizar una vía aérea permeable, oxigenación y extubación adecuadas, estabilidad hemodinámica y cuidados postoperatorios. La selección del tratamiento depende del estado clínico del paciente y de la anatomía traqueal. Objetivos: Mostrar el manejo anestésico utilizado en un paciente sometido a traqueoplastia. Caso clínico: Paciente masculino con estenosis traqueal secundaria a intubación prolongada con manejo conservador a base de cánula de Montgomery durante seis meses con mala respuesta a tratamiento y reestenosis al retiro de la misma, por lo que es sometido a traqueoplastia. Se describe la valoración preanestésica. También se expone la premedicación y el plan anestésico con especial énfasis en el transoperatorio así como los cuidados postoperatorios del paciente. Conclusiones: La traqueoplastia es una cirugía relativamente rara, pero una de las que más desafío representa para los anestesiólogos. Para anticipar el curso de cirugía y diseño de un plan anestésico exitoso, es necesario comprender la causa y características de la lesión traqueal así como la evaluación preoperatoria del paciente con estenosis traqueal. [ABSTRACT FROM AUTHOR] |
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| Database: |
MedicLatina |
