BACKGROUND Although median sternotomy is standard during cardiac surgery, the procedure is associated with a risk of injury to mediastinal organs. Here, we discuss two cases of tracheal injury following median sternotomy during cardiac surgery. CASE PRESENTATION Ventilation failure occurred in a 78-year-old Japanese man and a 71-year-old Japanese man after median sternotomy, and tracheal inju...

BACKGROUND Post intubation long segment tracheal stenosis is a serious problem which usually requires multiple methods of treatment. The aim of this study was to evaluate the results of surgical treatment in long segment post intubation tracheal stenosis. METHODS Between 2004 to 2008, 20 patients with proximal long segment tracheal stenosis and resection of over 40% of tracheal length, were a...

OBJECTIVE To investigate the inflammatory markers associated with short-term endotracheal intubation in healthy surgical patients. DESIGN An observational and prospective study of subjects scheduled for same-day surgery procedures. SETTING Level I trauma center. PATIENTS Fourteen healthy patients intubated for same-day surgery procedures. The median duration of surgery was 3 hours. INTE...

One hundred ASA I orthopaedic surgical patients (four randomized groups) were anaesthetized using continuous propofol and intermittent fentanyl (TIVA), with controlled ventilation via a tracheal tube in groups 1 and 2, and a laryngeal mask airway (LMA) in groups 3 and 4. Neuromuscular blockers were used in groups 1 and 3 only. There were no significant differences between groups in total anaest...

STUDY OBJECTIVES Surgery is the treatment of choice for symptomatic tracheal obstruction due to benign or malignant thyroid disease. In case of inoperability, or when surgery is refused, few therapeutic alternatives are available. Interventional bronchoscopic procedures have only been reported anecdotally. The objective of this study is to evaluate the results of interventional bronchoscopic pr...

Difficult tracheal intubation (DI) is more common in thyroid than in other surgical branches due to thyromegaly. Proper preoperative airway evaluation is necessary in order to reduce the potential numerous complications. The study examined the incidence of DI in thyroid surgery and the influence of tracheal dislocation and other risk factors on DI. A prospective study was conducted on 2379 pati...

Primary tracheal cancer is a well-known disease while metastases to the trachea from distant sites are exceedingly rare. We report a case of endotracheal metastasis from a colon cancer in a female, who underwent surgery for a sigmoid cancer with no metastases. Five years later, she was diagnosed with a solitary pulmonary metastasis and underwent a left lower lobectomy. After further two years, ...

Primary neurogenic tumors of trachea are extremely uncommon and account for only about 9% of all neoplasms of trachea. Tracheal schwannoma is among the rarest of them and there is no unanimity of opinion regarding its treatment. We report a 30 year-old woman with symptoms of airway obstruction due to primary tracheal schwannoma. She was suffering from cough and exertional dyspnea. She was admit...

BACKGROUND Congenital and acquired airway anomalies represent a relatively common albeit challenging problem in a national tertiary care hospital. In the past, most of these patients were sent to foreign Centres because of the lack of local experience in reconstructive surgery of the paediatric airway. In 2009, a dedicated team was established at our Institute. Gaslini's Tracheal Team includes ...