Experience Of Anesthesia In 12 Cases Of Endotracheal Neoplasm Resection And Airway Reconstruction

Objectives:The experience of anesthesia in 12 cases of tracheal neoplasm resection and airway reconstruction was summarized.Methods: The experience of anesthesia management in 12 patients undergoing endotracheal tumor resection and airway reconstruction from January 2010 to January2017 was retrospectively analyzed.The vital signs and states of 12 patients were observed when admission,induction of aesthesia,tracheal intubation,intraoperative,racheal disconnection,one-lung ventilation,anastomosis,end-of-operation,ventilator-assisted ventilation 1 hour after return to the ward,and tracheal extubation.Result: The hypnotic,sedative and analgesic drugs used in 12 patients during anesthesia induction were midazolam,etomidate and sufentanil.All patients used different muscle relaxants during induction of anesthesia,including rocuronium and choline succinate in 4patients,rocuronium in 6 patients and cis-atracurium in 2 patients.Twelve patients were induced by rapid intravenous anesthesia,and the vital signs were stable.All patients successfully established the airway.During the operation,we observed the size and location of the tumors and the degree of airway stenosis,which was basically consistent with the preoperative evaluation.Location of tracheal tumors: 5,5 and 2 patients with tumors located in upper,middle and lower trachea and main bronchi,respectively.The tumors were located in the upper part of the trachea.The degree of airway stenosis was grade 2 or below in 3 cases,and grade 3 in 2 cases.The tumors were located in the middle and lower part of the main airway and the main bronchus.The degree of airway stenosis was grade 2 or less in 7 cases.Postoperative pathological results showed that 7patients were adenoid cystic carcinoma,2 carcinoid,1 small salivary gland adenocarcinoma,1 squamous papilloma,1 benign mesenchymal tumor and leiomyoma.The vital signs of 12 patients were stable before,during and after operation,and there were no adverse reactions and complications.All 12 patients were discharged from hospital in good health.Conclusion: Whether tracheal tumors are located in the upper,lower and main bronchi of the main airway,and the degree of airway stenosis does not exceed grade 3,rapidintravenous anesthesia induction is feasible and safe in endotracheal tumor resection and airway reconstruction.