Tracheal resection in patient under local anestesia and conscious sedation

Abstract

The authors describe the case of a woman with a 2-year history of dyspnea and stridor caused by a tracheal hamartoma. The patient underwent tracheal resection and end-to-end anastomosis under monitored local anesthesia and conscious sedation, which was achieved by boluses of ketamine and midazolam. Local anesthesia was obtained by the use of stepwise local infiltration of 2% lidocaine and 7.5 mg/mL ropivacaine during the operation. The patient remained awake during the entire procedure, thus permitting the movement of the vocal cords to be monitored. Mechanical ventilation was never required. The postoperative period was uneventful, and the patient did not describe having any discomfort.


Autore Pugliese

Tutti gli autori

  • DE PALMA A.;LOIZZI M.

Titolo volume/Rivista

Non Disponibile


Anno di pubblicazione

2013

ISSN

0003-4975

ISBN

Non Disponibile


Numero di citazioni Wos

8

Ultimo Aggiornamento Citazioni

Non Disponibile


Numero di citazioni Scopus

9

Ultimo Aggiornamento Citazioni

Non Disponibile


Settori ERC

Non Disponibile

Codici ASJC

Non Disponibile