Shyam Sundar Rengan, Abhishek Mohan, Akhil Kumar, Ashwin Marwaha, Shikha Sharma, Rohit Rathi, Roman Dutta, Sabyasachi Bal
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This study evaluates the feasibility, possible utility, and efficacy of apnoeic oxygenation during tracheal resection and anastomosis as an alternative strategy to conventional ventilation techniques used in tracheal surgeries. Eight patients with tracheal stenosis were studied. All had preoperative bronchoscopic balloon dilation to facilitate intubation. During surgery, continuous oxygen at 5 L/min was delivered via an airway exchange catheter positioned above the carina during tracheal anastomosis. Gas exchange parameters were monitored, showing a rise in PaCO2 and a slight decrease in PaO2 over 15 min of apnoea, without any desaturation or hypoxic events. Cross-field ventilation was not required in any case. The technique was convenient, simple to implement, and effective in maintaining oxygenation with minimal physiological disruption during tracheal anastomosis.
期刊介绍：
The primary aim of the Indian Journal of Thoracic and Cardiovascular Surgery is education. The journal aims to dissipate current clinical practices and developments in the area of cardiovascular and thoracic surgery. This includes information on cardiovascular epidemiology, aetiopathogenesis, clinical manifestation etc. The journal accepts manuscripts from cardiovascular anaesthesia, cardiothoracic and vascular nursing and technology development and new/innovative products.The journal is the official publication of the Indian Association of Cardiovascular and Thoracic Surgeons which has a membership of over 1000 at present.DescriptionThe journal is the official organ of the Indian Association of Cardiovascular-Thoracic Surgeons. It was started in 1982 by Dr. Solomon Victor and ws being published twice a year up to 1996. From 2000 the editorial office moved to Delhi. From 2001 the journal was extended to quarterly and subsequently four issues annually have been printed out at time and regularly without fail. The journal receives manuscripts from members and non-members and cardiovascular surgeons. The manuscripts are peer reviewed by at least two or sometimes three or four reviewers who are on the panel. The manuscript process is now completely online. Funding the journal comes partially from the organization and from revenue generated by subscription and advertisement.
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