Comparing Non-intubated and Intubated Anesthesia for Tracheal and Carinal Reconstruction Surgery

What this Trial Is About

Researchers are evaluating the safety and outcomes of two anesthesia approaches for tracheal and carinal reconstruction in patients with airway or tracheal diseases. This trial compares the traditional intubated anesthesia method, which uses endotracheal ventilation but can obstruct the surgical field, with a newer non-intubated anesthesia technique that may offer advantages during surgery. The study aims to determine if the non-intubated approach has similar or better short-term and long-term results compared to the conventional method. Participants will be randomly assigned to one of two groups one receiving non-intubated tracheal and carinal reconstruction, and the other receiving the standard intubated procedure. Both groups undergo the surgical reconstruction, but the anesthesia delivery differs. The trial does not use masking or blinding, and the procedures are performed under medical supervision to assess their comparative effects on perioperative outcomes. During the study, researchers will monitor participants closely for outcomes such as conversion rates, postoperative complications, operative time, length of hospital and ICU stays, blood loss, reconstruction time, and drainage volume during the hospital stay up to 30 days after surgery. They will also track disease-free and overall survival rates for one year post-surgery. Participants will receive all necessary evaluations and care throughout the study period to ensure safety and accurate data collection.

Tubeless Tracheal and Carinal Reconstruction