Korean J Anesthesiol.  2007 Apr;52(4):465-470. 10.4097/kjae.2007.52.4.465.

Anesthetic Management of Complete Tracheal Transection using Percutaneous Cardiopulmonary Support System : A case report

• Kim YO
• Lee JL
• Kim JW
• Choi WJ
• Kim KT
• Lee SI

• KMID: 1937578
• DOI: http://doi.org/10.4097/kjae.2007.52.4.465

Abstract

Patients with complete tracheal transection present a considerable challenge to the anesthesiologist. A 38 year-old woman with complete tracheal transection above the aortic arch level due to blunt trauma was taken to the operating room for an attempt at tracheal repair. Anesthetic management was focused on the maintenance of the airway and adequate ventilation. Primary repair of the trachea was carried out under ventilation support via percutaneous cardiopulmonary support system. Until the disrupted trachea was exposed on the surgical field, ventilation was performed using a laryngeal mask. We discuss the anesthetic management strategies and the alternative mode of ventilation.

Keyword

laryngeal mask airway; percutaneous cardiopulmonary support system; tracheal transection; tracheobronchial injury

MeSH Terms

Adult
Aorta, Thoracic
Female
Humans
Laryngeal Masks
Operating Rooms
Trachea
Ventilation