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Tracheal stenosis is a serious complication following prolonged intubation. There are important differences in the challenges of airway management. This study consists of our anesthesia management experience in patients with unusual placement of tracheal stenosis due to Covid-19 undergoing tracheal dilatation.
Tracheal stenosis is a serious complication following prolonged intubation. Two types of tracheal stenosis; Glottic and subglottic stenoses have common features in that they are challenging in terms of ventilation, oxygenation and intubation. However, there are important differences in the challenges of airway managementA thinner tube may be sufficient to overcome the airway difficulty in glottic stenoses. However, in subglottic tracheal stenosis, a thinner tube may not be conveyed to the distal of the stenosis. As a result, adequate ventilation and oxygenation may not be provided with an intubation tube placed proximal to the trachea. This study consists of our anesthesia management experience in patients with unusual placement of tracheal stenosis due to Covid-19 undergoing tracheal dilatation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| airway management and ventilation in patients with unusual placement of tracheal stenosis | Experimental | Flow-controlled ventilation (FCV) in patients with unusual placement of tracheal stenosis |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Flow Controlled Ventilation | Other | Anesthesia management in patients with subglottic tracheal stenosis with flow-controlled ventilation using an intubation tube with an inner diameter of less than 3 mm |
| Measure | Description | Time Frame |
|---|---|---|
| PCO2 | blood partial pressure of carbondioxide | PCO2 value at baseline just before entubation, peroperative 5, 15, 30, 45 minutes after induction, and before the extubation through surgery completion |
| PO2 | blood partial pressure of oxygen | PO2 value at baseline just before entubation, peroperative 5, 15, 30, 45 minutes after induction, and before the extubation through surgery completion |
| Measure | Description | Time Frame |
|---|---|---|
| EtCO2 | end-tidal carbondioxide measurement | EtCO2 value at baseline just before entubation, peroperative 5, 15, 30, 45 minutes after induction, and before the extubation through surgery completion |
| length of intubation due to Covid-19 Pnomonia |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Istnabul University | Istanbul University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istanbul University, Department of Anesthesiology | Istanbul | 34093 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D014135 | Tracheal Stenosis |
| D000086382 | COVID-19 |
| ID | Term |
|---|---|
| D014133 | Tracheal Diseases |
| D012140 | Respiratory Tract Diseases |
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
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time from intubation to extubation in ICU
| postoperative period (up to 1 year) |
| sPO2 | peripheral oxygen saturation | SPO2 value at baseline, peroperative 5, 15, 30, 45 minutes after induction, and before the extubation through surgery completion |
| Myers-Cotton grading scale (1/2/3) | The grade of tracheal stenosis | before the surgery |
| VAS (Visual Analogue Scale) score (between 0 to 10 points) | surgeons' satisfaction(VAS 0=the worst view, 10= the best view) | during surgery through surgery completion |
| D012141 |
| Respiratory Tract Infections |
| D007239 | Infections |
| D014777 | Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |