Thoracic Anesthesia and Cross Field Ventilation for Tracheobronchial Injuries: A Challenge for Anesthesiologists

Tracheobronchial injuries are rare but life threatening sequel of blunt chest trauma. Due to the difficult nature of these injuries and the demanding attributes of the involved surgery, the anesthesiologist faces tough challenges while securing the airway, controlling oxygenation, undertaking one-lu...

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Main Authors: Sankalp Sehgal, Joshua C. Chance, Matthew A. Steliga
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2014/972762
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author Sankalp Sehgal
Joshua C. Chance
Matthew A. Steliga
author_facet Sankalp Sehgal
Joshua C. Chance
Matthew A. Steliga
author_sort Sankalp Sehgal
collection DOAJ
description Tracheobronchial injuries are rare but life threatening sequel of blunt chest trauma. Due to the difficult nature of these injuries and the demanding attributes of the involved surgery, the anesthesiologist faces tough challenges while securing the airway, controlling oxygenation, undertaking one-lung ventilation, maintaining anesthesia during tracheal reconstruction, and gaining adequate postoperative pain control. Amongst the few techniques that can be used with tracheobronchial injuries, cross field ventilation is a remotely described and rarely used technique, especially in injuries around the carina. We effectively applied cross field ventilation in both our cases and the outcome was excellent.
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spelling doaj-art-85279f37eb9c498cb00fecbbdbea893b2025-02-03T05:53:56ZengWileyCase Reports in Anesthesiology2090-63822090-63902014-01-01201410.1155/2014/972762972762Thoracic Anesthesia and Cross Field Ventilation for Tracheobronchial Injuries: A Challenge for AnesthesiologistsSankalp Sehgal0Joshua C. Chance1Matthew A. Steliga2Department of Anesthesiology and Pain Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USADepartment of Anesthesiology and Pain Medicine, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USADepartment of Cardiothoracic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USATracheobronchial injuries are rare but life threatening sequel of blunt chest trauma. Due to the difficult nature of these injuries and the demanding attributes of the involved surgery, the anesthesiologist faces tough challenges while securing the airway, controlling oxygenation, undertaking one-lung ventilation, maintaining anesthesia during tracheal reconstruction, and gaining adequate postoperative pain control. Amongst the few techniques that can be used with tracheobronchial injuries, cross field ventilation is a remotely described and rarely used technique, especially in injuries around the carina. We effectively applied cross field ventilation in both our cases and the outcome was excellent.http://dx.doi.org/10.1155/2014/972762
spellingShingle Sankalp Sehgal
Joshua C. Chance
Matthew A. Steliga
Thoracic Anesthesia and Cross Field Ventilation for Tracheobronchial Injuries: A Challenge for Anesthesiologists
Case Reports in Anesthesiology
title Thoracic Anesthesia and Cross Field Ventilation for Tracheobronchial Injuries: A Challenge for Anesthesiologists
title_full Thoracic Anesthesia and Cross Field Ventilation for Tracheobronchial Injuries: A Challenge for Anesthesiologists
title_fullStr Thoracic Anesthesia and Cross Field Ventilation for Tracheobronchial Injuries: A Challenge for Anesthesiologists
title_full_unstemmed Thoracic Anesthesia and Cross Field Ventilation for Tracheobronchial Injuries: A Challenge for Anesthesiologists
title_short Thoracic Anesthesia and Cross Field Ventilation for Tracheobronchial Injuries: A Challenge for Anesthesiologists
title_sort thoracic anesthesia and cross field ventilation for tracheobronchial injuries a challenge for anesthesiologists
url http://dx.doi.org/10.1155/2014/972762
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