title: Practical anesthetic considerations in patients undergoing tracheobronchial surgeries: a clinical review of current literature.
abstract: Tracheobronchial surgeries require close cooperation and extensive communication between the anesthesia providers and the surgeons. Anesthetic management of tracheal and bronchial pathologies differ basically from regular upper airways management, due access to the patients airway is limited, mostly even practically impossible for the anesthesia providers. As a consequence, the surgeon overtakes responsibility for the airway access from the anesthesia provider in the variety of the cases. Preoperative recognition of a difficult airway, detailed planning and being aware of plan B and plan C are the elementary keys to success. Providers have to be aware, that preoperative airway assessment does not always correlate with the ease of oxygenation and ventilation. Therefore, various methods have been described in the literature and several authors have adopted unique ways to manage the airways in a successful manner. With the advancement of surgical techniques over the years, anesthetic management has also evolved tremendously to match the needs. The commonly encountered conditions requiring surgical interventions include post-intubation stenosis and foreign body aspiration. In this review we will discuss the most common pathologies of tracheobronchial lesions and specific anesthetic management considerations related to them.
authors.affiliation: Department of Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio, USA.
authors.forename: Sanchit
authors.initials: S
authors.lastname: Ahuja
authors.affiliation: Department of Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio, USA.
authors.forename: Barak
authors.initials: B
authors.lastname: Cohen
authors.affiliation: Department of Anesthesiology and Intensive Care Medicine, University of Cologne, Cologne, Germany.
authors.forename: Jochen
authors.initials: J
authors.lastname: Hinkelbein
authors.affiliation: Department of Anaesthesia and Intensive Care Medicine, University Hospitals of Hautepierre, Strasburg, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Diemunsch
authors.affiliation: Department of Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio, USA;; Department of General Anesthesiology, Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio, USA.
authors.forename: Kurt
authors.initials: K
authors.lastname: Ruetzler
keywords: Anesthesia; tracheobronchial surgery