[Anesthetic management during resection of intratracheal tumor: report of 23 cases].

OBJECTIVE: To summarize our experience in anaesthetic management during the resection of intratracheal tumor. METHODS: A retrospective analysis of the anaesthetic management was conducted in 23 cases of intratracheal tumor resection. The anaesthetic methods were determined according to the location of tumor, the degree of tracheal obstruction and the surgical procedures. RESULTS: No severe complications occurred in relation to the anesthetic procedures. During the operation, the saturation of pulse oxygen (SpO(2)) transiently decreased to below 90 % in 5 cases (21.7 %) but recovered to normal level by aspiration of airway secretions and/or lung inflation. Seventeen patients (73.9 %) were extubated after the operation and returned to the ward safely, while another 6 (26.1 %) were sent to intensive care unit and extubated within 24 h. CONCLUSION: Case-specific anaesthetic plan is necessary before the operation, and it is crucial to maintain good ventilation without interfering with the surgical procedures during the operation.