International Medical Case Reports Journal (Aug 2022)
Anesthetic Management of Upper Tracheal Cancer Resection and Reconstruction: A Case Report
Abstract
So Ron Choi, Deuk Won Eom, Tae Young Lee, Ji Wook Jung, Gang Hyun Lee, Seung Cheol Lee, Sang Yoong Park, Tae Hyung Kim Department of Anesthesiology and Pain Medicine, University of Dong-A College of Medicine, Busan, Republic of KoreaCorrespondence: Sang Yoong Park, Department of Anesthesiology and Pain Medicine, University of Dong-A College of Medicine, 26 Daeshingongwon-ro, Seo-gu, Busan, 49201, Republic of Korea, Tel +82-51-240-5390, Fax +82-51-247-7819, Email [email protected]: Tracheal tumor resection and reconstruction is the primary treatment for tracheal tumors. The trachea is the surgical site as well as an important channel to ensure ventilation and maintain oxygenation during surgery. In this report, we describe the successful management of an upper tracheal tumor in a 50-year-old patient. The tumor was situated approximately 2– 3 cm below the vocal cords, occluding the tracheal lumen by 80%. Conventional orotracheal intubation was expected to be impossible, and the patient was managed with an I-Gel supraglottic airway for mechanical ventilation with the assistance of venovenous extracorporeal membrane oxygenation (VV ECMO). After securing tracheal intubation via the tracheostomy site, VV ECMO was weaned off, and mechanical ventilation was changed to tracheal intubation. Eventually, tracheal tumor resection and reconstruction were successfully performed under general anesthesia. No specific events occurred during anesthetic management. Careful preoperative planning and good teamwork made the procedure possible without complications.Keywords: anesthesia, extracorporeal membrane oxygenation, tracheal resection and reconstruction
