Anaesthesia for difficult airway patient due to esophagectomy

Authors

  • Sofía Adonina Nicolás Aller Licensed Physician Specialist in Anesthesiology and Resuscitation. Leon University Assistance Complex.
  • Natalia Riego del Castillo Internal Medical Resident of Anesthesiology and Resuscitation. Leon University Assistance Complex.
  • Fernando Díez Burón Licensed Physician Specialist in Anesthesiology and Resuscitation. Leon University Assistance Complex.
  • Santiago Fernández Manovel Internal Medical Resident of Anesthesiology and Resuscitation. Leon University Assistance Complex

DOI:

https://doi.org/10.30445/rear.v14i10.920

Keywords:

esophagectomy, difficult airway, bronchial screen, one-lung ventilation

Abstract

Esophageal oncologic surgery seems to be a true challenge for anesthesiologists due to aggressive surgery techniques requested considering where the tomour is located as well as the experience of the surgical staff. Transthoracic approaching or Ivor-Lewis technique is a two ways surgery: laparotomy for gastroplasty and one-lung ventilation right thoracotomy for dissection, tumor resection and anastomosis.

The patient had airway distortion due to previous oropharyngeal surgery and radiation therapy, as well as neoadjuvance for the esophageal tumor. Thus, awake tracheal intubation is considered, using a fiberbronchoscopy and a standard endotracheal tube. Throught it an independent bronchial screen to his right lung bronchus. We choose not to use the double-lumen tube due to its high complexity in a DA scenario and also because of tracheal injury risk. Surgery was developed with no problem at all and pulmonary exemption was properly reached.

References

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Published

2022-11-07

How to Cite

Nicolás Aller, S. A., Riego del Castillo, N., Díez Burón, F., & Fernández Manovel, S. (2022). Anaesthesia for difficult airway patient due to esophagectomy. Revista Electrónica AnestesiaR, 14(10). https://doi.org/10.30445/rear.v14i10.920

Issue

Vol. 14 No. 10 (2022): Revista Electrónica de AnestesiaR

Section

Clinical case reports

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Copyright (c) 2022 Revista Electrónica AnestesiaR

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