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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorSCHWEIGER, Thomas
dc.contributor.authorRODRIGUES, Isaac de Faria Soares
dc.contributor.authorROESNER, Imme
dc.contributor.authorSCHNEIDER-STICKLER, Berit
dc.contributor.authorEVERMANN, Matthias
dc.contributor.authorDENK-LINNERT, Doris -Maria
dc.contributor.authorHAGER, Helmut
dc.contributor.authorKLEPETKO, Walter
dc.contributor.authorHOETZENECKER, Konrad
dc.date.accessioned2020-08-20T13:26:13Z-
dc.date.available2020-08-20T13:26:13Z-
dc.date.issued2020
dc.identifier.citationANNALS OF THORACIC SURGERY, v.110, n.1, p.251-257, 2020
dc.identifier.issn0003-4975
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/37042-
dc.description.abstractBackground. Airway management during repair of laryngotracheal stenosis is demanding, and there is currently no accepted standard of care. Recently an increasing number of airway centers have started to use a laryngeal mask until the airway is surgically exposed and cross-table ventilation can be initiated. However detailed data on this approach are missing in the literature. Methods. Patients receiving laryngotracheal surgery from November 2011 until October 2018 were retrospectively included in this single-center study, except for patients who presented with a preexisting tracheostomy at time of surgery. Airway management uniformly consisted of laryngeal mask ventilation until cross-table ventilation was established. Clinical variables, perioperative complications, and airway complications were analyzed. Results. One hundred eight patients (65 women, 43 men) receiving tracheal resection (n = 50), cricotracheal resection (n = 49), or single-stage laryngotracheal reconstruction (n = 9) were included in the analysis. Of the included patients 23 (21.3%) had malignant disease and 85 (78.7%) a benign pathology. In the subgroup of patients with subglottic disease 85.1% had high-grade stenosis (Myer-Cotton III degrees). Airway management with a laryngeal mask was successful in all except 1 patient (99.1%). Mean pulse oximetry and mean end-tidal CO2 during laryngeal mask ventilation was 98.7% +/- 2.4% and 34.8 +/- 7.6 mm Hg, respectively. At the end of surgery 95 patients (88%) were successfully weaned from the respirator using the laryngeal mask. Conclusions. The laryngeal mask as the primary airway device is feasible and safe in patients undergoing laryngotracheal surgery even in cases with high-grade stenosis. (C) 2020 by The Society of Thoracic Surgeonseng
dc.language.isoeng
dc.publisherELSEVIER SCIENCE INCeng
dc.relation.ispartofAnnals of Thoracic Surgery
dc.rightsrestrictedAccesseng
dc.subject.othertracheal intubationeng
dc.subject.otherreconstructioneng
dc.subject.otherresectioneng
dc.subject.othermanagementeng
dc.subject.otherchildreneng
dc.titleLaryngeal Mask as the Primary Airway Device During Laryngotracheal Surgery: Data From 108 Patientseng
dc.typearticleeng
dc.rights.holderCopyright ELSEVIER SCIENCE INCeng
dc.identifier.doi10.1016/j.athoracsur.2019.11.064
dc.identifier.pmid32199826
dc.subject.wosCardiac & Cardiovascular Systemseng
dc.subject.wosRespiratory Systemeng
dc.subject.wosSurgeryeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
hcfmusp.description.beginpage251
hcfmusp.description.endpage257
hcfmusp.description.issue1
hcfmusp.description.volume110
hcfmusp.origemWOS
hcfmusp.origem.idWOS:000547527300034
hcfmusp.origem.id2-s2.0-85086792947
hcfmusp.publisher.cityNEW YORKeng
hcfmusp.publisher.countryUSAeng
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dc.description.indexMEDLINEeng
dc.identifier.eissn1552-6259
hcfmusp.citation.scopus17-
hcfmusp.scopus.lastupdate2024-03-29-
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