1/4. Anaesthetic management of a patient with low tracheal obstruction requiring placement of a T-Y stent.A 60-year-old man with a history of oesophagectomy for carcinoma presented with worsening dysphagia, dyspnoea and tachypnoea secondary to oesophageal stricture and tumour invasion of the trachea causing a "ball-valve" obstruction. The patient required placement of a T-Y tracheobronchial stent to relieve the airway obstruction and was successfully managed using sevoflurane for gaseous induction followed by maintenance with propofol total intravenous anaesthesia.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
2/4. Oesophageal papillomata in the child.This is a case report of a 6-year-old female child with asymptomatic multiple squamous papillomatosis involving the hypopharynx and the entire length of the oesophagus. Total spontaneous regression of the papillomata occurred within 2 years of presentation. Associated asymptomatic laryngeal papillomata were removed by suction diathermy under general anaesthesia. The diagnosis was confirmed by direct microlaryngoscopy, oesophagoscopy, barium swallow and histology. The laryngeal hypopharyngeal and oesophageal lesions were identical histologically and macroscopically.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
3/4. stents in the oesophagus.The use of self-expanding metal stents can markedly improve the care of patients with inoperable oesophageal malignancy. The stents can be easily introduced without the need for general anaesthesia. They have fewer complications during insertion than rigid stents and fewer complications than laser therapy. With these stents lumens of up to 2.5 cm are easily obtainable. The article considers the type of patient who may be suitable for stenting, the technique of insertion, benefits and complications of their use.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |
4/4. Resection of distal tracheal and carinal tumours with the aid of cardiopulmonary bypass.Two cases of carinal and tracheal reconstruction with the aid of cardiopulmonary bypass (CPB) are presented. The technical problems of surgery and anaesthesia which necessitated CPB in these two patients are discussed. CPB provides both adequate oxygenation and an unobstructed surgical field with optimal access to the trachea and carina. It permits atraumatic handling of the airways and reduction of anastomotic tension during the repair.- - - - - - - - - - ranking = 1keywords = anaesthesia (Clic here for more details about this article) |