Tracheal Resection and Reconstruction

  • David A. Silver
  • Philip M. Hartigan


Tracheal surgery requires close teamwork between the ­anesthesia and surgical teams in both planning and execution, with ongoing communication throughout, as they “share the airway.” Critical aspects of anesthetic management particular to tracheal resection/reconstruction (TRR) are (1) preservation of a patent ­airway with inductionand (2) safe ventilation while the airway is divided.


Tracheal surgery Tracheal resection reconstruction Induction considerations Ventilation strategies Orotracheal/endobronchial intubation for TRR Intubating over the field 

Selected References

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    Alfille PH. Anesthesia for tracheal surgery. Chapter 18 in Grillo H. Surgery of the Trachea and Bronchi. Becker, London, 2004.Google Scholar

Suggested Reading

  1. Berry M, Friedberg J. Techniques of tracheal resection. Chapter 54 in Sugarbaker DJ (editor). Adult Chest Surgery. McGraw Hill, New York, 2009; pp458-64.Google Scholar
  2. Lorenz R, Strome M. Subglottic resection of the airway. Chapter 55 in Sugarbaker DJ (editor). Adult Chest Surgery. McGraw Hill, New York, 2009; pp465-72.Google Scholar
  3. Ashiku S, DeCamp M. Resection of the carina. Chapter 56 in Sugarbaker DJ (Editor). Adult Chest Surgery. McGraw Hill, New York, 2009; pp 473-83.Google Scholar
  4. Sandberg W. Anesthesia and airway management for tracheal resection and reconstruction. Int Anesthesiol Clin. 2000;38(1):55–75.PubMedCrossRefGoogle Scholar
  5. Pinsonneault C, Fortier J, Donati F. Tracheal resection and reconstruction. Can J Anaesth. 1999;46(5 Pt 1):439–55.PubMedGoogle Scholar
  6. Young-Beyer P, Wilson RS. Anesthetic management for tracheal resection and reconstruction. J Cardiothorac Anesth. 1988;2(6):821–35.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • David A. Silver
    • 1
  • Philip M. Hartigan
    • 2
  1. 1.Department of Anaesthesiology, Perioperative, and Pain MedicineBrigham and Women’s HospitalBostonUSA
  2. 2.Division of Thoracic Anaesthesia Department of AnaesthesiologyPerioperative and Pain Medicine, Brigham and Women’s HospitalBostonUSA

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