[Potential of artificial high-frequency jet lung ventilation during laryngeal resection with the use of endoprostheses].
The objective of the present work was to enhance safety of general anesthesia and concomitant artificial high-frequency jet lung ventilation (HF ALV) during laryngeal resection followed by endoprosthetics in 48 patients with laryngeal cancer. Thirty three patients underwent intraoperative transdermal transtracheal HF ALV (TT HF ALV) through a thin catheter inserted into tracheal puncture prior to surgery. In 15 patients, intraoperative trans-catheter HF ALV (TC HF ALV) was performed through an intubation tube the end of which was positioned above the operative site. The study made it possible to develop indications to the choice of anesthetic modalities with the use of TT HF ALV and TC HF ALV on an individual basis for laryngeal resection with subsequent endoprosthetics. In addition, a rational method was developed for the maintenance of respiratory function during one-step laryngeal resection and cervical lymphodissection without formation of tracheostoma.
Smirnov
A E
AE
Lileev
D V
DV
Klochikhin
A L
AL
Vinogradov
V V
VV
D000328:Adult; D000368:Aged; D005500:Follow-Up Studies; D006611:High-Frequency Jet Ventilation / Q000379:methods*; D006801:Humans; D007430:Intraoperative Care / Q000379:methods*; D007822:Laryngeal Neoplasms / Q000473:pathology / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods*; D007831:Larynx, Artificial; D008875:Middle Aged; D009367:Neoplasm Staging; D016896:Treatment Outcome