thiopental and Pharyngeal-Neoplasms

A case is reported of a tracheal tear developing during laryngopharyngectomy and transhiatal oesophagectomy. Ventilation and oxygenation were managed by removing the tracheostomy tube and advancing a straight cuffed armoured tube via the tracheostomy into one main stem bronchus and applying CPAP to the other bronchus via a Foley catheter. Following gastrointestinal reconstruction, the membranous tracheal tear was repaired via a right lateral thoracotomy.

Topics: Anesthesia, General; Catheterization; Esophagus; Female; Humans; Intubation, Intratracheal; Laryngectomy; Middle Aged; Oropharyngeal Neoplasms; Pharyngeal Neoplasms; Pharyngectomy; Respiration, Artificial; Rupture; Thiopental; Trachea

Topics: Adult; Aged; Anesthesia, General; Carcinoma, Squamous Cell; Cardiovascular Diseases; Female; Halothane; Humans; Hypotension, Controlled; Lip Neoplasms; Male; Mandible; Mandibular Neoplasms; Middle Aged; Mouth Neoplasms; Neck; Nitrous Oxide; Nose Neoplasms; Osteotomy; Pharyngeal Neoplasms; Postoperative Complications; Preoperative Care; Respiratory Tract Diseases; Salivary Gland Neoplasms; Thiopental