Tracheomalacia after reoperation for an adenomatous goiter located in a unique position.

Abstract:

:Tracheomalacia after thyroidectomy is a life-threatening situation. However, it is difficult to predict postoperative tracheal obstruction with certainty. A case of a 74-year-old woman with a long-standing adenomatous goiter (98 g) is reported. She had undergone partial right lobe thyroidectomy 54 years earlier. After total thyroidectomy, she was reintubated and required a tracheostomy because of tracheomalacia. The right residual thyroid tumor weighed only 5 g, but it extended to the retrotracheal space. Because the right lobe had stretched the membranous wall of the trachea over a long period of time, the tracheal lumen was thought to have collapsed because of loss of the foundation of the tracheal cartilage (the residual right lobe) along with the supportive surrounding tissue (the left lobe) after surgery. The present case suggests that the occurrence of tracheomalacia could be attributed to reoperation and retrotracheal extension. Thus far, six preoperative predictive factors for the development of severe postoperative respiratory obstruction have been reported: goiter for more than 5 years, preoperative recurrent laryngeal nerve palsy, significant tracheal narrowing and/or deviation, retrosternal extension, difficult endotracheal intubation, and thyroid cancer. Two more factors, reoperation and retrotracheal extension of tumor, may also be risks for airway obstruction after thyroidectomy.

journal_name

J Anesth

journal_title

Journal of anesthesia

authors

Nakadate Y,Fukuda T,Hara H,Tanaka M

doi

10.1007/s00540-011-1181-9

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

745-8

issue

5

eissn

0913-8668

issn

1438-8359

journal_volume

25

pub_type

杂志文章
  • Amsorb Plus and Drägersorb Free, two new-generation carbon dioxide absorbents that produce a low compound A concentration while providing sufficient CO2 absorption capacity in simulated sevoflurane anesthesia.

    abstract:PURPOSE:The properties of two new-generation CO(2) absorbents, Amsorb Plus (Armstrong Medical, Coleraine, UK) and Drägersorb Free (Drager, Lubeck, Germany), were compared with those of Amsorb (Armstrong Medical) and Sodasorb II (W.R. Grace, Lexington, MA, USA). METHODS:The concentration of compound A produced by each ...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-004-0253-5

    authors: Kobayashi S,Bito H,Morita K,Katoh T,Sato S

    更新日期:2004-01-01 00:00:00

  • Catecholamine-resistant shock and hypoglycemic coma after cardiotomy in a patient with unexpected isolated ACTH deficiency.

    abstract::Isolated adrenocorticotropic hormone (ACTH) deficiency is an extremely rare disease in which ACTH-producing cells of the pituitary gland are selectively damaged. The resulting decline in ACTH production and secretion results in chronic secondary adrenocortical insufficiency. The patient in this case did not present wi...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-011-1118-3

    authors: Matsumoto S,Hagiwara S,Kusaka J,Hasegawa R,Nonaka H,Shingu C,Noguchi T

    更新日期:2011-06-01 00:00:00

  • Anesthetic management without perioperative platelet transfusion for cervical laminectomy and laminoplasty in a case of May-Hegglin anomaly.

    abstract::May-Hegglin anomaly (MHA) is an inherited autosomal dominant disorder characterized by giant platelets and inclusion bodies in granulocytes, and thrombocytopenia. There is no consensus on the perioperative management of this disorder. We report a case involving a patient with MHA who was perioperatively managed withou...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-018-2522-8

    authors: Kumemura M,Omae T,Kou K,Sakuraba S,Niimi N,Kunishima S

    更新日期:2018-08-01 00:00:00

  • Effects of osmotic pressure on intrathecal and epidural lidocaine anesthesia.

    abstract::Lidocaine (1%), either in plain distilled water or in 10% dextrose, was intrathecally or epidurally administered to urethane-chloralose anesthetized cats. Electrical stimulation was applied to the gracile tract at a cervical level, and the resultant antidromic compound action potentials were recorded from the sural ne...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/BF02482066

    authors: Minami T,Koyama N,Amakata Y

    更新日期:1996-03-01 00:00:00

  • Accuracy of a point-of-care blood gas analyzer in gastric tonometry measurements of intramucosal pH (pHi) and P(CO2) gap.

    abstract:PURPOSE:We assessed the accuracy of a point-of-care blood gas analyzer in providing data from saline samples obtained by gastrointestinal tonometry (Tonometrics Catheter; Tonometrics Division, Instrumentarium, Helsinki, Finland) for the calculation of intramucosal pH (pHi) and the P(CO)(2) gap (intramucosal P(CO)(2) - ...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-003-0209-1

    authors: Dohgomori H,Arikawa K,Kanmura Y

    更新日期:2004-01-01 00:00:00

  • Neuroprotection during cardiac surgery.

    abstract::Cerebral injury following cardiac surgery continues to be a significant source of morbidity and mortality after cardiac surgery. A spectrum of injuries ranging from subtle neurocognitive dysfunction to fatal strokes are caused by a complex series of multifactorial mechanisms. Protecting the brain from these injuries h...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,评审

    doi:10.1007/s00540-007-0514-1

    authors: Grocott HP,Yoshitani K

    更新日期:2007-01-01 00:00:00

  • Effects of ultrasound-guided erector spinae plane block on postoperative analgesia and plasma cytokine levels after uniportal VATS: a prospective randomized controlled trial.

    abstract:PURPOSE:Although uniportal video-assisted thoracoscopic surgery (VATS) has been widely used, the associated postoperative pain is still severe. Currently, a variety of regional anesthesia methods have been used to relieve postoperative pain. In our study, we wanted to evaluate the effectiveness of ultrasound-guided ere...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-020-02848-x

    authors: Liu L,Ni XX,Zhang LW,Zhao K,Xie H,Zhu J

    更新日期:2021-02-01 00:00:00

  • Pneumoperitoneum affects stroke volume variation in humans.

    abstract:PURPOSE:Stroke volume variation (SVV) is affected by many factors. Although elevated intra-abdominal pressure and a pneumoperitoneum have been shown to increase SVV in animals, a recent human study showed that SVV did not change as a pneumoperitoneum was established. However, we considered the results of this study que...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-014-1963-y

    authors: Wajima Z,Shiga T,Imanaga K

    更新日期:2015-08-01 00:00:00

  • Factors influencing intraoperative bradycardia in adult patients.

    abstract:PURPOSE:In order to elucidate the prominent factors involved in intraoperative bradycardia in adult patients, we retrospectively investigated the association between the potential risk factors and intraoperative bradycardia, using multiple logistic regression. METHODS:The perioperative records for 499 adult patients w...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-006-0469-7

    authors: Yorozu T,Iijima T,Matsumoto M,Yeo X,Takagi T

    更新日期:2007-01-01 00:00:00

  • Retrospective evaluation of intravenous fentanyl patient-controlled analgesia during labor.

    abstract:PURPOSE:Because the safety of intravenous fentanyl patient-controlled analgesia (iv-PCA) administered during labor remains unclear, we retrospectively examined the labor records from January 2005 to December 2007 in our institution, with a focus on both maternal and neonatal outcomes, as compared to no analgesia. METH...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-011-1292-3

    authors: Hosokawa Y,Morisaki H,Nakatsuka I,Hashiguchi S,Miyakoshi K,Tanaka M,Yoshimura Y,Takeda J

    更新日期:2012-04-01 00:00:00

  • A short period of fasting before surgery conserves basal metabolism and suppresses catabolism according to indirect calorimetry performed under general anesthesia.

    abstract::It is recommended that the period of fasting before elective surgery should be shortened to facilitate a rapid recovery by preventing catabolism. We examined the effects of a short period of fasting on metabolism by performing indirect calorimetry (IC) under general anesthesia. A prospective observational study involv...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-014-1950-3

    authors: Yoshimura S,Fujita Y,Hirate H,Kusama N,Azami T,Sobue K

    更新日期:2015-06-01 00:00:00

  • Evaluation of dilators for central venous catheterization using an experimental model.

    abstract:PURPOSE:Skin incision before percutaneous central venous catheterization may cause serious hemorrhage and/or skin cicatrization. To minimize these adverse effects, we improved the shape of a dilator and coated it with lubricant to reduce insertion load. METHODS:We selected three types of dilators from different manufa...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-004-0292-y

    authors: Takahashi T,Morita M,Shimada Y

    更新日期:2005-01-01 00:00:00

  • Attenuation of the vagolytic effect of atropine during high thoracic epidural anesthesia by heart rate fluctuation analysis.

    abstract::Fifteen surgical patients received an epidural injection of 12 ml of 1.5% lidocaine through a catheter placed at C7-T1, followed by further injection as required. An intravenous bolus of 0.5 mg of atropine sulfate was administered simultaneously with the initial epidural injection. The high-(HFC: 0.15-0.4 Hz) and low-...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/BF02482031

    authors: Shimoda O,Kano T,Ikuta Y,Tashiro M,Nakayama R,Oda T,Morioka T

    更新日期:1995-03-01 00:00:00

  • Chronic hyperglycemia with elevated glycated hemoglobin level and its association with postoperative acute kidney injury after a major laparoscopic abdominal surgery in diabetes patients.

    abstract:BACKGROUND:The relationship between preoperative hyperglycemia and postoperative acute kidney injury (AKI) occurrence in non-cardiac surgery including laparoscopic surgery remains unclear. This study aimed to assess the relationship between preoperative chronic hyperglycemia and postoperative AKI occurrence after a maj...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-018-2551-3

    authors: Oh TK,Han S,Oh AY,Kim S,Ryu JH

    更新日期:2018-10-01 00:00:00

  • Comparison of postoperative pharyngeal morbidity using the Macintosh laryngoscope or AirWay Scope after mastectomy.

    abstract::We compared the characteristics of postoperative pharyngeal morbidity in intubation between the AirWay Scope (AWS) and Macintosh laryngoscope in 68 ASA I-II female patients aged 35-77 years in a randomized, double-blinded, controlled fashion. After induction of general anesthesia, the patient's trachea was intubated u...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00540-011-1195-3

    authors: Maruyama K,Nakagawa H,Imanishi H,Kitamura A,Hayashida M

    更新日期:2011-10-01 00:00:00

  • Antinociceptive effect of intracerebroventricular administration of D-serine on formalin-induced pain.

    abstract:PURPOSE:In a previous study using the tail-flick test, we found that intracerebroventricular administration of D-serine, an endogenous co-agonist at the glycine sites of N-methyl-D-aspartate (NMDA) receptors, elicited an antinociceptive effect on thermal nociception. The purpose of the present study was to evaluate the...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-013-1708-3

    authors: Ito M,Yoshikawa M,Ito K,Matsuda M,Jin XL,Takahashi S,Kobayashi H,Suzuki T

    更新日期:2014-04-01 00:00:00

  • Pharmacokinetics and pharmacodynamics of vecuronium bromide.

    abstract::The pharmacokinetics and pharmacodynamics of vecuronium bromide were studied in patients under general anesthesia of enflurane and nitrous oxide in oxygen. Eighteen patients were randomly divided into two groups which received either 0.05 mg.kg(-1) (low dose group) or 0.20 mg.kg(-1) (high dose group) of vecuronium int...

    journal_title:Journal of anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s0054020060028

    authors: Nomura T

    更新日期:1992-01-01 00:00:00

  • Regional anesthesia for laparoscopic surgery: a narrative review.

    abstract::Laparoscopic surgery has advanced remarkably in recent years, resulting in reduced morbidity and shorter hospital stay compared with open surgery. Despite challenges from the expanding array of laparoscopic procedures performed with the use of pneumoperitoneum on increasingly sick patients, anesthesia has remained lar...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章,评审

    doi:10.1007/s00540-013-1736-z

    authors: Vretzakis G,Bareka M,Aretha D,Karanikolas M

    更新日期:2014-06-01 00:00:00

  • Thoracoscopic sympathectomy: endobronchial anesthesia vs endotracheal anesthesia with intrathoracic CO2 insufflation.

    abstract:PURPOSE:To compare clinical advantages and hemodynamic and respiratory changes during one lung-collapsed ventilation (OLCV) using a double-lumen tube (DLT) or a single-lumen tube (SLT) with intrathoracic CO(2) insufflation, in patients undergoing thoracic sympathectomy (TS) under general anesthesia. METHODS:One hundre...

    journal_title:Journal of anesthesia

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1007/s540-002-8088-z

    authors: El-Dawlatly A,Al-Dohayan A,Riyad W,Thalaj A,Delvi B,Al-Saud S

    更新日期:2002-01-01 00:00:00

  • Effects of tracheal insufflation of oxygen (TRIO) on blood gases during external cardiac compressions in dogs under ventricular fibrillation.

    abstract::Tracheal insufflation of oxygen (TRIO) is a form of constant-flow ventilation. We studied the effect of TRIO at a flow rate of 2 L/kg/min on arterial blood gases during external cardiac compressions in dogs with ventricular fibrillation. During the combined application of TRIO and external cardiac compressions, all an...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054090030016

    authors: Okamoto K,Urata K,Katsuya H,Morioka T

    更新日期:1989-03-01 00:00:00

  • Risk factors related to accidental intravascular injection during caudal anesthesia.

    abstract::Recently, ultrasound-guided caudal anesthesia has been performed for postoperative pain management after lumbar spine surgery. Although it is well known that intravascular injection often occurs in the caudal part of the spine, and that this cannot be detected at the time of injection under ultrasound screening, the r...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-014-1840-8

    authors: Fukazawa K,Matsuki Y,Ueno H,Hosokawa T,Hirose M

    更新日期:2014-12-01 00:00:00

  • Comparison of Laryngeal Mask Supreme® and Soft Seal® for airway management in several positions.

    abstract:PURPOSE:In emergency situations, rescuers occasionally must secure the airway while the patient is in a position other than the ideal supine position. We hypothesized that the laryngeal mask airway Supreme(®) (Supreme) may be useful for emergent airway management in several positions and compared the utility of the Sup...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-011-1145-0

    authors: Komasawa N,Ueki R,Fujii A,Samma A,Nakagawa M,Nishi SI,Kaminoh Y

    更新日期:2011-08-01 00:00:00

  • Subanesthetic sevoflurane does not affect sympathetic or parasympathetic function.

    abstract::To evaluate the effects of subanesthetic enflurane and sevoflurane on the sympathetic nervous system (SNS) and the parasympathetic nervous system (PNS), the blood level of norepinephrine (NE) and fluctuations in the R-R intervals were measured on electrocardiogram in humans given either 0.5 MAC enflurane or sevofluran...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/BF02482745

    authors: Kuramochi K

    更新日期:1994-03-01 00:00:00

  • Anesthetic management of simultaneous coronary artery bypass grafting and cardiac pheochromocytoma resection under cardiopulmonary bypass.

    abstract::We experienced simultaneous coronary artery bypass grafting and cardiac pheochromocytoma resection under cardiopulmonary bypass in a 79-year-old woman with atherosclerotic angina. During manipulation of the tumor under cardiopulmonary bypass, the serum norepinephrine concentration increased to over seventy times the n...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-007-0549-3

    authors: Kojima Y,Kitahara H,Kimura H,Nakamura T,Ina H,Yokota S

    更新日期:2007-01-01 00:00:00

  • Cost comparison of intrathecal morphine to intravenous patient-controlled analgesia for the first 24 h post cesarean delivery: a retrospective cohort study.

    abstract:PURPOSE:Intrathecal morphine provides superior pain control for patients undergoing cesarean delivery when compared to intravenous opioid patient-controlled analgesia. However, no study has assessed the overall cost associated with each modality as a primary outcome. The aim of this study is to determine the overall co...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-016-2263-5

    authors: Patel N,Bryant A,Duncan K,Kukreja P,Powell MF

    更新日期:2017-02-01 00:00:00

  • Postoperative renal morbidity and mortality after volume replacement with hydroxyethyl starch 130/0.4 or albumin during surgery: a propensity score-matched study.

    abstract:PURPOSE:We aimed to compare retrospectively the rates of renal morbidity and mortality in surgical patients receiving 6% HES 130/0.4 to those receiving albumin. METHODS:From a Japanese nationwide medical database between 2014 and 2016, we identified adults who received HES 130/0.4 (HES group) or albumin (albumin group...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-020-02838-z

    authors: Miyao H,Kotake Y

    更新日期:2020-12-01 00:00:00

  • Bilateral tension pneumothoraces following jet ventilation via an airway exchange catheter.

    abstract::We report a case involving a 55-year-old man who had a recent resection of tracheal carcinoma and tracheal reanastomosis. He subsequently developed tracheomalacia and anastomotic dehiscence requiring airway stenting via an armored endotracheal tube (ETT). Placement of the armored ETT was technically difficult. It requ...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-006-0463-0

    authors: Nunn C,Uffman J,Bhananker SM

    更新日期:2007-01-01 00:00:00

  • Effects of sevoflurane with or without nitrous oxide on cardiac contractility and sinoatrial node rate.

    abstract::Cardiac effects of sevoflurane (SE) with or without nitrous oxide were examined in the canine blood-perfused papillary muscle and sinoatrial node preparations. Although SE depressed developed tension (DT), mean arterial pressure (MAP) and heart rate of the donor dog (DHR) dose dependently, sinoatrial rate (SAR) was no...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s0054090030145

    authors: Manabe M,Ookawa I,Nonaka A,Kumazawa T

    更新日期:1989-09-01 00:00:00

  • Possible utility of contrast-enhanced ultrasonography for detecting spread of local anesthetic in nerve block.

    abstract:PURPOSE:This study demonstrated the effects of perfluorobutane (Sonazoid®) with contrast-enhanced ultrasonography (CEUS) to identify the spread of local anesthetics in ultrasound-guided nerve block. METHODS:This study consists of simulation, cadaveric, and animal studies. In a simulation study, 1% lidocaine with 10- t...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-017-2347-x

    authors: Sasaki H,Yamauchi M,Ninomiya T,Tatsumi H,Yamakage M

    更新日期:2017-06-01 00:00:00

  • A case report of anesthetic management of the minimally invasive Nuss operation for pectus excavatum.

    abstract::We describe the anesthetic management of a patient with pectus excavatum, receiving the minimally invasive Nuss operation, which corrects chest wall deformity by insertion of a convex steel bar (pectus bar). An 8-year-old female patient was scheduled for the Nuss operation. The manipulation of the bar in the thorax wa...

    journal_title:Journal of anesthesia

    pub_type: 杂志文章

    doi:10.1007/s00540-004-0269-x

    authors: Ichizawa M,Morimura E,Tsuchiya N,Hanafusa T,Shinomura T

    更新日期:2005-01-01 00:00:00