Anesthesia for sleeve resection of the trachea using epidural anesthesia and high frequency jet ventilation (HFJV)

Abstract

A 69-years-old woman with a tracheal tumor that was 22mm in diameter, protruding from the posterior wall of the trachea directly, underwent sleep resection of trachea. An endotracheal tube (I.D. 5.0mm) without cuff was inserted alongside passing the tumor. Epidural anesthesia with low concentration of halothane and nitrous oxide was chosen under spontaneous breathing combined with HFJV. During anesthesia, the value of PaO₂ and PaCO₂ was kept within almost normal range, and the operation was accomplished uneventfully.In conclusion, epidural anesthesia under spontaneous breathing with HFJV is considered to be a good method for sleeve resection of the trachea.