{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T22:14:23Z","timestamp":1787004863836,"version":"build-2736575974"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Ziel dieser \u00dcbersichtsarbeit ist es, einen \u00dcberblick \u00fcber das aktuelle an\u00e4sthesiologische Management von Trachearesektionen zu geben.<\/jats:p>\n                  <jats:p>Neben dem \u201etraditionellen\u201c an\u00e4sthesiologischen Vorgehen, bei dem nach der Einleitung der Allgemeinan\u00e4sthesie eine konventionelle endotracheale Intubation erfolgt und nach chirurgischer Er\u00f6ffnung der Trachea eine Cross-Field-Intubation oder Jet-Ventilation durchgef\u00fchrt wird, gibt es einen Trend zu weniger invasiven an\u00e4sthesiologischen Verfahren. Regionalan\u00e4sthesiologische Techniken, die auf den Erhalt der Spontanatmung abzielen, werden zunehmend beschrieben. Insbesondere f\u00fcr zervikale Trachealpathologien scheinen Larynxmasken vorteilhafte Alternativen zur endotrachealen Intubation zu sein.<\/jats:p>\n                  <jats:p>Extrakorporale Verfahren k\u00f6nnen einen suffizienten Gasaustausch und\/oder eine ad\u00e4quate Perfusion w\u00e4hrend komplexer Resektionen und Rekonstruktionen gew\u00e4hrleisten, ohne dass die Atemwegshilfsmittel das operative Feld beeintr\u00e4chtigen. Sie stellen zudem eine effektive R\u00fcckfallebene dar, falls andere Verfahren zur Oxygenierung versagen.<\/jats:p>\n                  <jats:p>Das Spektrum der verf\u00fcgbaren an\u00e4sthesiologischen Techniken f\u00fcr operative Eingriffe an der Trachea ist immens. Um den sichersten Ansatz f\u00fcr den individuellen Patienten zu finden, ist eine interdisziplin\u00e4re Evaluation unerl\u00e4sslich. Die Lokalisation und die Beschaffenheit der Atemwegspathologie, Begleiterkrankungen, der funktionelle Zustand des respiratorischen Systems sowie die geplante rekonstruktive Technik m\u00fcssen ber\u00fccksichtigt werden.<\/jats:p>\n                  <jats:p>Bis mehr Daten verf\u00fcgbar sind, ist ein evidenzbasierter Vergleich unterschiedlicher Verfahren nicht m\u00f6glich.<\/jats:p>","DOI":"10.1055\/a-2222-7797","type":"journal-article","created":{"date-parts":[[2023,12,20]],"date-time":"2023-12-20T18:57:42Z","timestamp":1703098662000},"page":"260-267","source":"Crossref","is-referenced-by-count":5,"title":["An\u00e4sthesie und Chirurgie der Trachea"],"prefix":"10.1055","volume":"149","author":[{"given":"Marc","family":"Schieren","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr An\u00e4sthesiologie und operative Intensivmedizin, Kliniken der Stadt K\u00f6ln gGmbH, K\u00f6ln, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erich","family":"Stoelben","sequence":"additional","affiliation":[{"name":"Thoraxklinik K\u00f6ln, St. Hildegardis Krankenhaus, K\u00f6ln, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,12,20]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1351","DOI":"10.1053\/j.jvca.2017.03.020","article-title":"New Approaches to Airway Management in Tracheal Resections-A Systematic Review and Meta-analysis","volume":"31","author":"M Schieren","year":"2017","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"83","DOI":"10.1016\/j.thorsurg.2019.08.007","article-title":"Nonintubated Anesthesia for Tracheal\/Carinal Resection and Reconstruction","volume":"30","author":"H Liang","year":"2020","journal-title":"Thorac Surg 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