Survey on some clinical and subclinical characteristics of patients with tracheal stenosis related to resuscitation anesthesia

  • Đinh Thị Thu Trang 108 Military Central Hospital
  • Nguyễn Minh Lý 108 Military Central Hospital
  • Công Quyết Thắng Bệnh viện Hữu Nghị
  • Tống Xuân Hùng 108 Military Central Hospital
  • Ngô Văn Định 108 Military Central Hospital
  • Lê Thị Thúy Hường 108 Military Central Hospital

Main Article Content

Keywords

Tracheal stenosis, resection and reconstruction surgery, anesthesia

Abstract

Objective: To investigate the clinical and subclinical features of patients with tracheal stenosis who were indicated for surgery in relation to resuscitation anesthesia. Subject and method: Description of the research, from September 2015 to January 2019 at 108 Military Central Hospital and Viet Duc Hospital, 85 patients with tracheal stenosis from 15 to 80 years old have indicated for resection and reconstruction surgery. Result and conclusion: Male proportion higher than female, 84.1% compared with 15.9%. The average age was 40.06 ± 18.58 years, from 15 - 80 years old. The main reason for admission to hospital was difficulty breathing 71/85 patients (81.8%). The degree of breathlessness fourth was 70.6% (60/85 patients). The main causes of stenosis are post-intubation (32/85 patients) and posttracheostomy (38/85 patients), and tumors 10/85 patients. The narrow position in the neck segment accounted for 79/85 patients (93.2%). Injury according to Cotton I (3.5%), Cotton II (30.6%), Cotton III (49.4%), Cotton IV (16.5%). The most common narrow segment lengths were < 20mm and 20 - 40mm (35.3% and 50.6%).

Article Details

References

1. Quách Thị Cần (2012) Nghiên cứu hình thái học lâm sàng của 106 bệnh nhân sẹo hẹp thanh khí quản tại Bệnh viện Tai Mũi Họng Trung ương. Tạp chí thông tin Y Dược, Số 2, tr. 15-19.
2. Nguyễn Hoàng Phong, Trần Thị Mộng Hiệp, Lại Lê Hưng (2019) Đặc điểm kết quả điều trị bệnh nhân hẹp khí quản bẩm sinh có phẫu thuật tại Bệnh viện Nhi Đồng từ tháng 8/2013 đến 4/2018. Tạp chí Y Học Thành phố Hồ Chí Minh 4(23, tr. 37-44.
3. Nguyễn Thị Mỹ Thắm, Lâm Huyền Trân, Trần Minh Trường (2010) Khảo sát đặc điểm tổn thương hẹp thanh khí quản sau đặt nội khí quản lâu ngày. Y học Thành Phố Hồ Chí Minh, số 14, tr. 277-283.
4. Friedel G, Kyriss T, Leitenberger A et al (2003) Long-term results after 110 tracheal resections. German Medical Science: 10-18.
5. Marques P, Leal L, Spratley J et al (2009) Tracheal resection with primary anastomosis: 10 years experience. Am J Otolaryngol 30(6): 415-418.
6. Mostafa SM (2012) Tracheal stenosis: Diagnosis and treatment.
7. Pinsonneault C, Fortier J, Donati F (1999) Tracheal resection and reconstruction. Can J Anaesth 46(5): 439-455.
8. Ranganath N, Arathi B, Ramamani PV et al (2015) Anaesthetic considerations for tracheal resection in oncological thyroid surgeries. Indian J Anaesth 59(3): 188-190.
9. Schieren M, Egyed E, Hartmann B et al (2018) Airway management by laryngeal mask airways for cervical tracheal resection and reconstruction: A single-center retrospective analysis. Anesth Analg 126(4): 1257-1261.
10. Williams N (2017) The MRC breathlessness scale", Occup Med (Lond) 67(6): 496-497.
11. Zias N, Chroneou A, Tabba MK et al (2008) Post tracheostomy and post intubation tracheal stenosis: Report of 31 cases and review of the literature. BMC Pulm Med 8: 18.