Korean J Anesthesiol.  2006 Oct;51(4):499-503. 10.4097/kjae.2006.51.4.499.

Anesthetic Management using Laryngeal Mask Airway during Tracheotomy and End-to-End Anastomosis in a Patient with Upper Tracheal Stenosis: A case report

• Kwon TM
• Yun MJ
• Kang JM
• Oh AY

• KMID: 2045373
• DOI: http://doi.org/10.4097/kjae.2006.51.4.499

Abstract

Tracheotomy and end-to-end anastomosis is a relatively rare operation, but it is one of the most challenging for anesthesiologists. During surgery, the principal anesthetic consideration is to maintain the ventilation and oxygenation throughout the procedure. We experienced anesthetic management of a 49-year-old man with upper tracheal stenosis after long-term intubation and ventilation care. The stenotic lesion was located at 2 cm below the vocal cords, and the length of the stenotic segment was about 2 cm. The anesthesia was induced and maintained with intravenous propofol and alfentanil. The airway was managed with LMA and distal tracheal intubation on the surgical field and we were able to maintain adequate ventilation and oxygenation throughout the operational period.

Keyword

laryngeal mask airway; tracheotomy and end-to-end anastomosis; tracheal stenosis

MeSH Terms

Alfentanil
Anesthesia
Humans
Intubation
Laryngeal Masks*
Middle Aged
Oxygen
Propofol
Tracheal Stenosis*
Tracheotomy*
Ventilation
Vocal Cords
Alfentanil
Oxygen
Propofol