• J. Cardiothorac. Vasc. Anesth. · Sep 2019

    Review

    Expiratory Central Airway Collapse in Adults: Anesthetic Implications (Part 1).

    • Diaz Milian Ricardo R Augusta University, Medical College of Georgia, Augusta, GA. Electronic address: rdiazmilian@augusta.edu., Edward Foley, Maria Bauer, Andrea Martinez-Velez, and Manuel R Castresana.
    • Augusta University, Medical College of Georgia, Augusta, GA. Electronic address: rdiazmilian@augusta.edu.
    • J. Cardiothorac. Vasc. Anesth. 2019 Sep 1; 33 (9): 2546-2554.

    AbstractExpiratory central airway collapse (ECAC) is a general term that incorporates tracheobronchomalacia (TBM) and excessive dynamic airway collapse (EDAC). TBM and EDAC are progressive, degenerative disorders of the tracheobronchial tree, causing airway collapse. Induction of general anesthesia can trigger intraoperative airway collapse in patients with these conditions. This crisis presents as the sudden inability to ventilate, which can lead to life-threatening hypoxemia and hypercapnia. This article reviews the definition, pathophysiology, diagnosis, and anesthetic implications of ECAC.Copyright © 2018 Elsevier Inc. All rights reserved.

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