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Tracheal resection: the team brief in multi‐stage airway surgery

Tracheal resection: the team brief in multi‐stage airway surgery The multidisciplinary team brief and effective clinical decision‐making are critical to airway surgery. To illustrate this, we present the case of a 58‐year‐old female with papillary thyroid cancer invading the trachea. We describe a basic framework that was used to aid planning the management of this patient. Tracheal resection is a complex airway operation requiring the evaluation of airway obstruction risk, the formulation of strategies for complex airway management and lung ventilation during complete resection of the tracheal segment and a handover plan for safe tracheal extubation. We suggest that team performance is facilitated by a standardised structure for consideration of anticipated events and important decisions to be made before the operation. Furthermore, it can provide a platform to engage the team when unanticipated events occur and alternate plans have to be made in a time‐critical manner. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Anaesthesia Reports Wiley

Tracheal resection: the team brief in multi‐stage airway surgery

Cervi, E.; Ong, C.
Anaesthesia Reports , Volume 8 (1) – Jan 1, 2020
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Publisher
Wiley
Copyright
2020 © Association of Anaesthetists
eISSN
2637-3726
DOI
10.1002/anr3.12037
Publisher site
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Abstract

The multidisciplinary team brief and effective clinical decision‐making are critical to airway surgery. To illustrate this, we present the case of a 58‐year‐old female with papillary thyroid cancer invading the trachea. We describe a basic framework that was used to aid planning the management of this patient. Tracheal resection is a complex airway operation requiring the evaluation of airway obstruction risk, the formulation of strategies for complex airway management and lung ventilation during complete resection of the tracheal segment and a handover plan for safe tracheal extubation. We suggest that team performance is facilitated by a standardised structure for consideration of anticipated events and important decisions to be made before the operation. Furthermore, it can provide a platform to engage the team when unanticipated events occur and alternate plans have to be made in a time‐critical manner.

Journal

Anaesthesia Reports – Wiley

Published: Jan 1, 2020

Keywords: airway assessment: co‐existing disease; oxygen delivery; postoperative ventilation; predictor difficult intubation; thyroid surgery

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