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Tracheal resection: the team brief in multi‐stage airway surgery
Author(s) -
Cervi E.,
Ong C.
Publication year - 2020
Publication title -
anaesthesia reports
Language(s) - English
Resource type - Journals
ISSN - 2637-3726
DOI - 10.1002/anr3.12037
Subject(s) - airway , medicine , multidisciplinary team , airway obstruction , airway management , resection , intensive care medicine , ventilation (architecture) , surgery , general surgery , engineering , mechanical engineering , nursing
Summary The multidisciplinary team brief and effective clinical decision‐making are critical to airway surgery. To illustrate this, we present the case of a 58‐year‐old female with papillary thyroid cancer invading the trachea. We describe a basic framework that was used to aid planning the management of this patient. Tracheal resection is a complex airway operation requiring the evaluation of airway obstruction risk, the formulation of strategies for complex airway management and lung ventilation during complete resection of the tracheal segment and a handover plan for safe tracheal extubation. We suggest that team performance is facilitated by a standardised structure for consideration of anticipated events and important decisions to be made before the operation. Furthermore, it can provide a platform to engage the team when unanticipated events occur and alternate plans have to be made in a time‐critical manner.