Management of a case of left tracheal sleeve pneumonectomy under cardiopulmonary bypass: Anesthesia perspectives.

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dc.contributor.authorJyoti, Aman
dc.contributor.authorMaheshwari, Arun
dc.contributor.authorShivnani, Ganesh
dc.contributor.authorKumar, Arvind
dc.date.accessioned2014-01-03T10:45:58Z
dc.date.available2014-01-03T10:45:58Z
dc.date.issued2014-01
dc.description.abstractThe lung tumors with carinal involvement are frequently managed with tracheal sleeve pneumonectomy and tracheobronchial anastomosis without use of cardiopulmonary bypass (CPB). Various modes of ventilation have been described during tracheal resection and anastomosis. Use of CPB during this period allows the procedure to be conducted in a more controlled way. We performed tracheal sleeve pneumonectomy for adenoid cystic carcinoma of left lung involving carina. The surgery was performed in two stages. In the first stage, left pneumonectomy was performed and in the second stage after 48 h, tracheobronchial resection and anastomosis was performed under CPB. Second stage was delayed to avoid excessive bleeding (due to heparinization) from the extensive vascular raw area left after pneumonectomy. Meticulous peri‑operative planning and optimal post‑operative care helped in successful management of a complex case, which is associated with high morbidity and mortality.en_US
dc.identifier.citationJyoti Aman, Maheshwari Arun, Shivnani Ganesh, Kumar Arvind. Management of a case of left tracheal sleeve pneumonectomy under cardiopulmonary bypass: Anesthesia perspectives. Annals of Cardiac Anaesthesia. 2014 Jan; 17(1): 62-66.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/149697
dc.language.isoenen_US
dc.source.urihttps://www.annals.in/article.asp?issn=0971-9784;year=2014;volume=17;issue=1;spage=62;epage=66;aulast=Jyotien_US
dc.subjectAdenoid cystic carcinomaen_US
dc.subjectCardiopulmonary bypassen_US
dc.subjectTracheobronchial anastomosisen_US
dc.subjectTracheal sleeve pneumonectomyen_US
dc.subject.meshAdult
dc.subject.meshAnastomosis, Surgical
dc.subject.meshBronchi --surgery
dc.subject.meshBronchoscopy
dc.subject.meshCarcinoma, Adenoid Cystic --surgery
dc.subject.meshCardiopulmonary Bypass --methods
dc.subject.meshHumans
dc.subject.meshLung Neoplasms --surgery
dc.subject.meshMale
dc.subject.meshPatient Care Planning
dc.subject.meshPneumonectomy --methods
dc.subject.meshRecovery of Function
dc.subject.meshTomography, X-Ray Computed
dc.subject.meshTrachea --surgery
dc.subject.meshTreatment Outcome
dc.titleManagement of a case of left tracheal sleeve pneumonectomy under cardiopulmonary bypass: Anesthesia perspectives.en_US
dc.typeArticleen_US
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