Clinical Approach to Central Airway Obstruction in Adult Patients: Perioperative Focus on Causes and Management Including Tracheobronchial Stenting.

IF 2.3 4区 医学 Q2 ANESTHESIOLOGY
Eugene MingJin Gan, Haoyuan Lim, Carrie Kah-Lai Leong, Sau Yee Chow, Kai Wen Hwang, Nian Chih Hwang
{"title":"Clinical Approach to Central Airway Obstruction in Adult Patients: Perioperative Focus on Causes and Management Including Tracheobronchial Stenting.","authors":"Eugene MingJin Gan, Haoyuan Lim, Carrie Kah-Lai Leong, Sau Yee Chow, Kai Wen Hwang, Nian Chih Hwang","doi":"10.1053/j.jvca.2025.03.032","DOIUrl":null,"url":null,"abstract":"<p><p>Central airway obstruction (CAO) is a life-threatening condition associated with poor prognosis. Therapeutic bronchoscopy along with systemic therapies significantly improve survival and quality of life in patients with symptomatic benign and malignant CAO. Endoluminal therapies and tracheobronchial stenting may be used, and a multidisciplinary approach is essential for holistic management of CAO. Perioperative planning and evaluation, as well as attention to intraoperative and postoperative management are key to optimal outcomes. This review provides an overview of the etiology and clinical approach to CAO, perioperative considerations for endoluminal therapies and tracheobronchial stenting, perioperative evaluation and preparation for therapeutic bronchoscopy, and management of operative and postoperative challenges in CAO.</p>","PeriodicalId":15176,"journal":{"name":"Journal of cardiothoracic and vascular anesthesia","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of cardiothoracic and vascular anesthesia","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1053/j.jvca.2025.03.032","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Central airway obstruction (CAO) is a life-threatening condition associated with poor prognosis. Therapeutic bronchoscopy along with systemic therapies significantly improve survival and quality of life in patients with symptomatic benign and malignant CAO. Endoluminal therapies and tracheobronchial stenting may be used, and a multidisciplinary approach is essential for holistic management of CAO. Perioperative planning and evaluation, as well as attention to intraoperative and postoperative management are key to optimal outcomes. This review provides an overview of the etiology and clinical approach to CAO, perioperative considerations for endoluminal therapies and tracheobronchial stenting, perioperative evaluation and preparation for therapeutic bronchoscopy, and management of operative and postoperative challenges in CAO.

成人患者中央气道阻塞的临床方法:围手术期重点关注包括气管支气管支架置入在内的病因和处理。
中央气道阻塞(CAO)是一种危及生命且预后不良的疾病。治疗性支气管镜检查联合全身治疗可显著提高有症状的良恶性曹操患者的生存率和生活质量。可采用腔内治疗和气管支气管支架植入术,多学科方法对全面治疗曹操至关重要。围手术期的计划和评估,以及对术中和术后管理的关注是获得最佳结果的关键。本文综述了曹操的病因和临床方法、腔内治疗和气管支气管支架植入术的围手术期考虑、治疗性支气管镜检查的围手术期评估和准备以及曹操手术和术后挑战的处理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
4.80
自引率
17.90%
发文量
606
审稿时长
37 days
期刊介绍: The Journal of Cardiothoracic and Vascular Anesthesia is primarily aimed at anesthesiologists who deal with patients undergoing cardiac, thoracic or vascular surgical procedures. JCVA features a multidisciplinary approach, with contributions from cardiac, vascular and thoracic surgeons, cardiologists, and other related specialists. Emphasis is placed on rapid publication of clinically relevant material.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信