Anesthetic management of reconstructive surgery on the respiratory tract

Porkhanov V.A.; Zhikharev V.A.; Kononenko V.B.; Danilov V.V.; Naryzhnyĭ N.V.; Poliakov I.S.

doi:https://doi.org/10.17116/hirurgia2016124-9

Porkhanov V.A.

Research Institute — Ochapovsky Regional Clinic Hospital №1 of Healthcare Ministry of Krasnodar Region, Krasnodar, Russia;
Chair of Surgery №1, Advanced Training Faculty, Kuban State Medical University, Krasnodar, Russia

SPIN RSCI: 2446-5933
ORCID: 0000-0003-0572-1395

Zhikharev V.A.

S.V. Ochapovsky Research Institute-Regional Clinical Hospital №1, Health Ministry of the Krasnodar Region, Russia

Kononenko V.B.

S.V. Ochapovsky Research Institute-Regional Clinical Hospital №1, Health Ministry of the Krasnodar Region, Russia

Danilov V.V.

S.V. Ochapovsky Research Institute-Regional Clinical Hospital №1, Health Ministry of the Krasnodar Region, Russia

Naryzhnyĭ N.V.

S.V. Ochapovsky Research Institute-Regional Clinical Hospital №1, Health Ministry of the Krasnodar Region, Russia

Poliakov I.S.

Institut khirurgii im. A.V. Vishnevskogo Minzdrava RF, Moskva

Anesthetic management of reconstructive surgery on the respiratory tract

Authors:

Porkhanov V.A., Zhikharev V.A., Kononenko V.B., Danilov V.V., Naryzhnyĭ N.V., Poliakov I.S.

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Journal: Pirogov Russian Journal of Surgery. 2016;(1): 4‑9

DOI: 10.17116/hirurgia2016124-9

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To cite this article:

Porkhanov VA, Zhikharev VA, Kononenko VB, Danilov VV, Naryzhnyĭ NV, Poliakov IS. Anesthetic management of reconstructive surgery on the respiratory tract. Pirogov Russian Journal of Surgery. 2016;(1):4‑9. (In Russ.)
https://doi.org/10.17116/hirurgia2016124-9

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

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Abstract:

In the article provides an analysis of own of clinical experience peculiarities of carrying out of anesthesia, when performing 466 various tracheo-bronhoplastiс of operations for the period from 1979 to 2014 the year a one team of surgeons. Preoperative preparation, anesthesia and postoperative management of patients are key to improving treatment outcomes. Full arsenal of modern methods of ventilation lets you choose for each stage of surgery is most convenient for the surgeon and patient-safe way to maintain gas exchange. Presented in this paper our anestiology experience allows you to discuss and elect the proposed management of patients through the selection and optimization of the method that best meets modern requirements.

Keywords:

tracheal resection

resection of the bifurcation of the trachea

Jet-ventilation

the acros- field ventlation

apnea ventilation

Authors:

Porkhanov V.A.

SPIN RSCI: 2446-5933
ORCID: 0000-0003-0572-1395

Zhikharev V.A.

S.V. Ochapovsky Research Institute-Regional Clinical Hospital №1, Health Ministry of the Krasnodar Region, Russia

Kononenko V.B.

S.V. Ochapovsky Research Institute-Regional Clinical Hospital №1, Health Ministry of the Krasnodar Region, Russia

Danilov V.V.

S.V. Ochapovsky Research Institute-Regional Clinical Hospital №1, Health Ministry of the Krasnodar Region, Russia

Naryzhnyĭ N.V.

S.V. Ochapovsky Research Institute-Regional Clinical Hospital №1, Health Ministry of the Krasnodar Region, Russia

Poliakov I.S.

Institut khirurgii im. A.V. Vishnevskogo Minzdrava RF, Moskva

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References:

Belsey R. Resection and reconstruction of the intrathoracic trachea. Brit J Surg. 1950;38:200.
Mathey J. Les resections pulmonaires ches e'enfant. Sem Hop Paris. 1951;27:1359-1365.
Mathey J, Oustrieres G. End-to-end bronchial anastomosis after accidental division of the stem bronchus. Thorax. 1951;6:71-74.
Grillo H. Surgery of the Trachea and bronchi. 2004.
Perel'man M.I. Khirurgiya trakhei. M.: Meditsina; 1972.
Kharchenko V.P., Volokhov B.V. Rezektsiya i plastika bifurkatsii trakhei pri bronkholegochnom rake. Khirurgiya. 1970;5:26-30.
Sotnikov V.N., Folomeev V.N., Molchanov I.V., Panferova A.V., Konkov M.N. Rannie i pozdnie oslozhneniya intubatsii i trakheostomii. Klinicheskaya anesteziologiya i reanimatologiya. 2008;1:45-48.
Parshin V.D., Gudovskii L.M., Rusakov M.A., Vyzhigina M.A. Khirurgiya rubtsovykh stenozov trakhei. M. 2003;152.
Sel'vashchuk A.P. Rekonstruktsiya i endoprotezirovanie trakheobronkhial'nogo dereva pri dobrokachestvennykh i zlokachestvennykh porazheniyakh: Dis. ... d-ra med. nauk. Krasnodar. 2009.
Macchiarini P, Jungebluth P, Go T, Asnaghi MA, Rees LE, Cogan TA, Dodson A, Martorell J, Bellini S, Parnigotto PP, Dickinson SC, Hollander AP, Mantero S,Conconi MT, Birchall MA. Clinical transplantation of a tissue-engineered airway. Lancet. 2008;372(9655):2023-2030yu
Parshin V.D., Porkhanov V.A. Khirurgiya trakhei s atlasom operativnoi khirurgii. M.: Al'di-Print; 2010;22-76.
Porhanov VA, Poliakov IS, Selvaschuk AP, Grechishkin AI, Sitnik SD, Nikolaev IF, Efimtsev JP, Marchenko LG. Indications and results of sleeve carinal resection. Eur J Cardiothorac Surg. 2002;22(5):685-694.
Perel'man M.I. Khirurgiya trakhei. M.: Meditsina; 1972.
Detterbeck FC, Lewis SZ, Diekemper R, Addrizzo-Harris DJ, Alberts WM. Diagnosis and Management of Lung Cancer,3 ed :American College of Chest Phisicians Evidence-Based Clinical Practice Guidelines. Chest. 2013;143:7-37.
Kamiyoshichara M et al. Results of tracheobroncoplasty for bronchogenic carcinoma. Oncol Rep. 1999;6:2:476-470.
Paolo Macchiarini, Matthias Altmayer, Tetsuhiko Go, Thorsten Walles, Karl Schulze, Ingeborg Wildfang, Axel Haverich, Michael Hardin. Technical Innovations of Carinal Resection for Nonsmall-Cell Lung Cancer. The Annales of Thoracic Surgery. 2006;6:1989-199.
Porhanov V, Poliakov I, Kononenko V, Selvaschuk A, Bodnya V, Semendiaev S, Mamelov M, Marchenko L. Surgical treatment of 'short stump' bronchial fistula. Eur J Cardiothorac Surg. 2000;17(1):2-7.
Kraft T.M., Apton P.M. Klyuchevye voprosy i temy v anesteziologii. M. 1997;140.
Eichhorn JH, Cooper JB, Cullen DJ et al. Standarts of patient monitoring during anesthesia at Harvard Medical School. J Am Med Ass 1986;256:1017-1020.
Eichhorn JH. Prevention of intraoperative anesthesia accidents and related severe injury through safety monitoring. Anesthesiology. 1989;70:572-577.
Ramachandran SK, Cosnowski A, Shanks A, Turner CR. Apneic oxygenation during prolonged laryngoscopy in obese patients: a randomized, controlled trial of nasal oxygen administration. J Clin Anesth. 2010;22(3):164-168.
Achar SK, Pai AJ, Shenoy UK. Apneic Oxygenation during simulated prolonged difficult laryngoscopy: Comparison of nasal prongs versus nasopharyngeal catheter: A prospective randomized controlled study, nesth. Essays Res. 2014;8(1):63-67.
Bunyatyan A.A., Mizikov V.M. Anesteziologiya. Nats. ruk. M.: GEOTAR-Media; 2013;12:245-250.
Clare Elizabeth Conlon. High frequency jet ventilation, anaesthesia tutorial of the week 271, 8th october 2012.
TVSP Murthy, Anaesthetic Management of Carinal Resection and Reconstruction. A Case Report. Indian Journal of Anaesthesia. 2009;53(3):340-343.
Niradzhan N., Bolton T., Beri K. Uskoryaya vosstanovlenie posle operatsii: sovremennye dostizheniya. Russkaya versiya zhurnala Update in Anaesthesia. 2012;26/1:21-27.
Vyzhigina M.A. Anesteziologicheskie problemy sovremennoi legochnoi i trakheobronkhial'noi khirurgii: Dis. ... d-ra med. nauk. M. 1996;48.
Porkhanov V.A., Polyakov I.S., Bodnya V.N., Kononenko V.B., Kovalenko A.L., Sel'vashchuk A.P., Sitnik S.D. Nikolaev I.F., Krasnoslobodtseva G.L., Marchenko L.G. Tsirkulyarnaya rezektsiya bifurkatsii trakhei pri razlichnoi legochnoi patologii, pokazaniya i rezul'taty lecheniya. Kubanskii nauchnyi meditsinskii vestnik. Krasnodar 2005: 1-2; 87-93.