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Sanjula Virmani1, Vishnu Datt1, Deepak K Tempe1, Harpreet S Minhas2, Ravi Meher3, Aastha D Goswami1, Shalini Sharma1, Indira Malik1
1 Department of Anaesthesiology and Intensive Care, GIPMER, New Delhi, India
2 Department of Cardiothoracic Surgery, GIPMER, New Delhi, India
3 Department of ENT and Head and Neck Surgery MAMC, New Delhi, India
Correspondence Address:
Sanjula Virmani
Department of Anaesthesiology and Intensive Care, G B Pant Institute of Postgraduate Medical Education and Research (GIPMER), New Delhi - 110 002
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/aca.ACA_246_18
In patients with critical tracheal stenosis, particularly involving the lower part of trachea, a highly experienced team of anesthesiologists to tackle the difficulties of securing and maintaining the ventilation, cardiac surgeon who can swiftly establish cardiopulmonary bypass, an experienced surgeon for tracheal reconstruction are a prerequisite for managing these highly complex cases. The present paper describes three patients suffering from severe tracheal narrowing wherein spontaneous bag-mask ventilation was used for establishing cardiopulmonary bypass via mid-sternotomy as a rare life-saving procedure for urgent tracheal reconstructive surgery. A highly experienced team of anesthesiologists to tackle the difficulties of securing and maintaining the ventilation, cardiac surgeon who can swiftly establish CPB, and an experienced surgeon for tracheal reconstruction are a prerequisite for managing these highly complex cases. The present paper describes three patients suffering from severe tracheal narrowing wherein spontaneous bag-mask ventilation was used for establishing CPB via mid-sternotomy as a rare life-saving procedure for urgent tracheal reconstructive surgery.
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