Perioperative management of patients undergoing tracheal resection and reconstruction: a retrospective observational study
Pacientes con Estenosis traqueal
- Autores:
-
Segura Salguero, Juan Camilo
Díaz Bohada, Lorena
Ruiz, Alvaro J.
- Tipo de recurso:
- Article of investigation
- Fecha de publicación:
- 2022
- Institución:
- Pontificia Universidad Javeriana
- Repositorio:
- Repositorio Universidad Javeriana
- Idioma:
- eng
- OAI Identifier:
- oai:repository.javeriana.edu.co:10554/61406
- Acceso en línea:
- https://www.sciencedirect.com/science/article/pii/S0104001422000252?via%3Dihub#!
http://hdl.handle.net/10554/61406
https://doi.org/10.1016/j.bjane.2022.02.001
- Palabra clave:
- Cirugía torácica
Estenosis traqueal
Manejo de la vía aérea
Anestesia
Thoracic surgery
Tracheal stenosis
Airway management
Anesthesia
- Rights
- License
- Atribución-NoComercial 4.0 Internacional
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| dc.title.spa.fl_str_mv |
Perioperative management of patients undergoing tracheal resection and reconstruction: a retrospective observational study |
| title |
Perioperative management of patients undergoing tracheal resection and reconstruction: a retrospective observational study |
| spellingShingle |
Perioperative management of patients undergoing tracheal resection and reconstruction: a retrospective observational study Cirugía torácica Estenosis traqueal Manejo de la vía aérea Anestesia Thoracic surgery Tracheal stenosis Airway management Anesthesia |
| title_short |
Perioperative management of patients undergoing tracheal resection and reconstruction: a retrospective observational study |
| title_full |
Perioperative management of patients undergoing tracheal resection and reconstruction: a retrospective observational study |
| title_fullStr |
Perioperative management of patients undergoing tracheal resection and reconstruction: a retrospective observational study |
| title_full_unstemmed |
Perioperative management of patients undergoing tracheal resection and reconstruction: a retrospective observational study |
| title_sort |
Perioperative management of patients undergoing tracheal resection and reconstruction: a retrospective observational study |
| dc.creator.fl_str_mv |
Segura Salguero, Juan Camilo Díaz Bohada, Lorena Ruiz, Alvaro J. |
| dc.contributor.author.none.fl_str_mv |
Segura Salguero, Juan Camilo Díaz Bohada, Lorena Ruiz, Alvaro J. |
| dc.contributor.corporatename.spa.fl_str_mv |
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y Bioestadística |
| dc.contributor.javerianateacher.none.fl_str_mv |
Ruiz, Alvaro J. |
| dc.subject.spa.fl_str_mv |
Cirugía torácica Estenosis traqueal Manejo de la vía aérea Anestesia |
| topic |
Cirugía torácica Estenosis traqueal Manejo de la vía aérea Anestesia Thoracic surgery Tracheal stenosis Airway management Anesthesia |
| dc.subject.keyword.spa.fl_str_mv |
Thoracic surgery Tracheal stenosis Airway management Anesthesia |
| description |
Pacientes con Estenosis traqueal |
| publishDate |
2022 |
| dc.date.accessioned.none.fl_str_mv |
2022-08-17T16:45:02Z |
| dc.date.available.none.fl_str_mv |
2022-08-17T16:45:02Z |
| dc.date.created.none.fl_str_mv |
2022-02-18 |
| dc.type.local.spa.fl_str_mv |
Artículo de revista |
| dc.type.coar.spa.fl_str_mv |
http://purl.org/coar/resource_type/c_2df8fbb1 |
| format |
http://purl.org/coar/resource_type/c_2df8fbb1 |
| dc.identifier.spa.fl_str_mv |
https://www.sciencedirect.com/science/article/pii/S0104001422000252?via%3Dihub#! |
| dc.identifier.issn.spa.fl_str_mv |
0104-0014 / 2352-2291 (Electrónico) |
| dc.identifier.uri.none.fl_str_mv |
http://hdl.handle.net/10554/61406 |
| dc.identifier.doi.spa.fl_str_mv |
https://doi.org/10.1016/j.bjane.2022.02.001 |
| dc.identifier.instname.spa.fl_str_mv |
instname:Pontificia Universidad Javeriana |
| dc.identifier.reponame.spa.fl_str_mv |
reponame:Repositorio Institucional - Pontificia Universidad Javeriana |
| dc.identifier.repourl.spa.fl_str_mv |
repourl:https://repository.javeriana.edu.co |
| url |
https://www.sciencedirect.com/science/article/pii/S0104001422000252?via%3Dihub#! http://hdl.handle.net/10554/61406 https://doi.org/10.1016/j.bjane.2022.02.001 |
| identifier_str_mv |
0104-0014 / 2352-2291 (Electrónico) instname:Pontificia Universidad Javeriana reponame:Repositorio Institucional - Pontificia Universidad Javeriana repourl:https://repository.javeriana.edu.co |
| dc.language.iso.spa.fl_str_mv |
eng |
| language |
eng |
| dc.relation.citationstartpage.spa.fl_str_mv |
331 |
| dc.relation.citationendpage.spa.fl_str_mv |
337 |
| dc.relation.ispartofjournal.spa.fl_str_mv |
Brazilian Journal of Anesthesiology |
| dc.relation.citationvolume.spa.fl_str_mv |
17 |
| dc.relation.citationissue.spa.fl_str_mv |
3 |
| dc.rights.licence.*.fl_str_mv |
Atribución-NoComercial 4.0 Internacional |
| dc.rights.uri.*.fl_str_mv |
http://creativecommons.org/licenses/by-nc/4.0/ |
| dc.rights.coar.spa.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
| rights_invalid_str_mv |
Atribución-NoComercial 4.0 Internacional http://creativecommons.org/licenses/by-nc/4.0/ http://purl.org/coar/access_right/c_abf2 |
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PDF |
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application/pdf |
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Colombia |
| dc.coverage.temporal.none.fl_str_mv |
2009-2020 |
| dc.coverage.city.none.fl_str_mv |
Bogotá (Colombia) |
| institution |
Pontificia Universidad Javeriana |
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Repositorio Institucional - Pontificia Universidad Javeriana |
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Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2Segura Salguero, Juan CamiloDíaz Bohada, LorenaRuiz, Alvaro J.Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Epidemiología Clínica y BioestadísticaRuiz, Alvaro J.Colombia2009-2020Bogotá (Colombia)2022-08-17T16:45:02Z2022-08-17T16:45:02Z2022-02-18https://www.sciencedirect.com/science/article/pii/S0104001422000252?via%3Dihub#!0104-0014 / 2352-2291 (Electrónico)http://hdl.handle.net/10554/61406https://doi.org/10.1016/j.bjane.2022.02.001instname:Pontificia Universidad Javerianareponame:Repositorio Institucional - Pontificia Universidad Javerianarepourl:https://repository.javeriana.edu.coPDFapplication/pdfengCirugía torácicaEstenosis traquealManejo de la vía aéreaAnestesiaThoracic surgeryTracheal stenosisAirway managementAnesthesiaPerioperative management of patients undergoing tracheal resection and reconstruction: a retrospective observational studyArtículo de revistahttp://purl.org/coar/resource_type/c_2df8fbb1Pacientes con Estenosis traquealBackground: Perioperative management of Tracheal Resection and Reconstruction (TRR) presents many challenges to the physicians involved in airway management. Factors related to postoperative outcomes can be identified as early as the preoperative setting and can even be linked to demographic characteristics of patients affected by tracheal stenosis. The primary aim of this study is to describe the experience of patients undergoing TRR at our hospital from an anesthesiology perspective, describing as a second aim demography, preoperative conditions, and postoperative complications. Methods: This was a single institution retrospective review of patients who underwent TRR between 2009 and 2020. We did a post-hoc exploratory analysis to identify possible associations between perioperative complications and perioperative management. Results: Forty-three ASA I−IV adult patients aged 18−72 years who underwent TRR were included. Prolonged intubation (72%) is the primary cause of tracheal stenosis. Intraoperative management: intravenous induction and laryngeal masks are now the most frequently used for air- way management, especially in subglottic stenosis. Perioperative complications were vocal cord paralysis (25.6%), postoperative ventilatory support (20.9%), and need for surgical reintervention (20.9%). One patient (2%) died in the postoperative period due to anastomotic complication. After resection, dexmedetomidine is the preferred choice (48.8%) for sedoanalgesia in the ICU. Conclusions: Perioperative management of TRR at our hospital has a low mortality and high mor- bidity rate. We did not find an association between perioperative anesthetic interventions and postoperative complications. Further studies are needed to evaluate which anesthetic interven- tions may be associated with better outcomes.https://orcid.org/0000-0002-8620-6661https://orcid.org/0000-0003-3863-8993https://orcid.org/0000-0001-6528-4268Revista Internacional - IndexadaSi331337Brazilian Journal of Anesthesiology173ORIGINALPerioperative management of patients undergoing.pdfPerioperative management of patients undergoing.pdfArtículoapplication/pdf566117http://repository.javeriana.edu.co/bitstream/10554/61406/1/Perioperative%20management%20of%20patients%20undergoing.pdfd0e769c27e9efd51dd3f83e79720e2d4MD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-82603http://repository.javeriana.edu.co/bitstream/10554/61406/2/license.txt2070d280cc89439d983d9eee1b17df53MD52open accessTHUMBNAILPerioperative management of patients undergoing.pdf.jpgPerioperative management of patients undergoing.pdf.jpgIM Thumbnailimage/jpeg13515http://repository.javeriana.edu.co/bitstream/10554/61406/3/Perioperative%20management%20of%20patients%20undergoing.pdf.jpg589016d4149a38d5b0839c9828fcc72aMD53open access10554/61406oai:repository.javeriana.edu.co:10554/614062023-04-05 16:29:13.104Repositorio Institucional - Pontificia Universidad Javerianarepositorio@javeriana.edu.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 |