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eComment: Early extubation following tracheal surgery. Is it safe?

Thoracic Surgery Department, Theagenio Cancer Hospital, A. Simeonidi 2, 55535 Thessaloniki, Greece

Sixty tracheal resections – single center experience

We read with great interest the article by Cordos et al. regarding their experience on tracheal resection surgery and we would like to congratulate them for their excellent results [1].

According to the authors' experience, all patients were extubated in the operating room with no early postoperative respiratory complications. Early extubation following major tracheal surgery is a debating issue. Wolf et al. have reported that among 23 early extubated adult patients, 10 of them required re-intubation [2]. On the contrary, Brown et al. reported that early extubation in selected cases of children undergoing major tracheal surgery has been positive with no need for post-extubation airway intervention [3].

We would like to mention that early extubation is not indicated in all cases and proper selection of patients is very important. There are factors that may play a negative role in early extubation such as patients with decreased pulmonary function, tracheomalacia, use of both posterior and anterior grafts, postoperative vocal folds edema, patients with a preoperative high degree of tracheal stenosis.

	References

Top References

 

1. Cordos I, Bolca C, Paleru C, Posea RD, Stoica R. Sixty tracheal resections – single center experience. Interact CardioVasc Thorac Surg 2009;8:63–66.
2. Wolf M, Shapira Y, Talmi YP, Novikov I, Kronenberg J, Yellin A. Laryngotracheal anastomosis: primary and revised procedures. Laryngoscope 2001;111:622–627.[CrossRef][Medline]
3. Brown SM, Rosenberg JD, Parikh SR. Early extubation following major tracheal surgery in select children. Int J Pediatr Otorhinolaryngol 2006;70:253–258.[CrossRef][Medline]

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				K. Vaidyanathan and R. Santosham eComment: Tracheal surgery Interactive CardioVascular and Thoracic Surgery, January 1, 2009; 8(1): 65 - 66. [Full Text] [PDF]

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Nikolaos Barbetakis Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Barbetakis, N. Articles by Tsilikas, C. Search for Related Content PubMed PubMed Citation Articles by Barbetakis, N. Articles by Tsilikas, C. Related Collections Related Article