Table 37-11
- Left radial artery cannulation (permits continuous monitoring of blood pressure during periods of innominate artery compression)
- Corticosteroids to decrease tracheal edema
- Deliver 100% oxygen to facilitate periods of apneic oxygenation
- Consider placing a small anode (wire reinforced) tracheal tube above the stenosis followed by distal placement of a sterile tracheal or bronchial tube after the trachea is exposed (other options include high-frequency jet ventilation or cardiopulmonary bypass)
- Postoperatively, keep the head flexed and strive for early tracheal extubation