A clinical case of successful treatment of the patient after laryngotracheal resection complicated by bilateral paralysis of the larynx
https://doi.org/10.21292/2078-5658-2019-16-5-65-71
Abstract
Laryngotracheal resection is the treatment of choice for most patients with tracheal stenosis. Anesthesia and postoperative management for aryngotracheal resection involves certain problems associated with the occurrence of postoperative complications. This article discusses a clinical case of successful patient's management after resection of a lengthy portion of the trachea with the resulting postoperative laryngeal paralysis. The possibility of using high-flow oxygen therapy in combination with traditional oxygenation through a tracheostomy tube in order to prevent the development of postoperative acute respiratory failure is considered.
About the Authors
V. A. Zhikharev
S.V. Ochapovsky Research Institute - Regional Clinical Hospital no. 1
Russian Federation
Russian Federation
Vasiliy A. Zhikharev - Candidate of Medical Sciences, Doctor of Superior Expert Category, Chief Resident of Anesthesiology and Intensive Care Unit no. 1.
167, 1st May St., Krasnodar, 350000.
Phone: +7 (861) 252‒83‒83.
A. M. Bostanova
S.V. Ochapovsky Research Institute - Regional Clinical Hospital no. 1
Russian Federation
Russian Federation
Alina M. Bostanova - Resident Physician of Anesthesiology and Intensive Care Department no. 1.
167, 1st May St., Krasnodar, 350000.
I. S. Polyakov
S.V. Ochapovsky Research Institute - Regional Clinical Hospital no. 1; Kuban State Medical University
Russian Federation
Russian Federation
Igor S. Polyakov - Deputy Head Physician.
167, 1st May St., Krasnodar, 350000.
V. A. Koryachkin
Saint-Petersburg State Pediatric Medical University
Russian Federation
Russian Federation
Viktor A. Koryachkin - Doctor of Medical Sciences, Professor of Anesthesiology, Intensive Care and Emergency Pediatrics Department Named After V.I. Gordeev.
2, Litovskaya St., St. Petersburg, 194100.
V. A. Porkhanov
S.V. Ochapovsky Research Institute - Regional Clinical Hospital no. 1; Kuban State Medical University
Russian Federation
Russian Federation
Vladimir A. Porkhanov - Academician of RAS, Doctor of Medical Sciences, Professor, Head Physician, Doctor of Superior Merritt of Russia, Member of European Society of Thoracic Surgeons, European Association for Cardio-Thoracic Surgery, European Respiratory Society, Union for International Cancer Control, Member of Task Group on Thoracic Surgery in RAS.
167, 1st May St., Krasnodar, 350000.
Phone: +7 (861) 215‒87‒40.
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Review
For citations:
Zhikharev V.A., Bostanova A.M., Polyakov I.S., Koryachkin V.A., Porkhanov V.A. A clinical case of successful treatment of the patient after laryngotracheal resection complicated by bilateral paralysis of the larynx. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2019;16(5):65-71. (In Russ.) https://doi.org/10.21292/2078-5658-2019-16-5-65-71
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