Korean J Anesthesiol.  1996 Mar;30(3):358-363. 10.4097/kjae.1996.30.3.358.

Airway Management by Bougienation in Tracheal Stenosis: A case report

• Rhee BW
• Choi IC
• Cho MW

• KMID: 2240414
• DOI: http://doi.org/10.4097/kjae.1996.30.3.358

Abstract

The incidence of tracheal stenosis is increased because of the longterm respiratory care with endotracheal intubation and tracheostomy. Present therapeutic modalities for the relief of an tracheal or bronchial stenosis include laser resection, radiotherapy, cryotherapy, bougienation, stent insertion, dilatation with balloon catheter and finally reconstruction surgery. However, reconstruction surgery have some problems in ventilation during anesthetic management. Small sized tube insertion through lesion, high frequency jet ventilation, cardiopulmonary bypass are served to resolve ventilatory problem. We experienced a case of severe tracheal stenosis due to tracheostomy. The stenotic lesion was 2.5 cm above the carina, 3 mm in diameter and length of the stenotic segment was 1 cm. We used bougienation with endotracheal tube replace obturator for the ventilation before the reconstruction surgery and the patient was successfully managed without complications.

Keyword

Airway; trachea; stenosis; bougienation; Surgery; tracheal reconstruction

MeSH Terms

Airway Management*
Cardiopulmonary Bypass
Catheters
Constriction, Pathologic
Cryotherapy
Dilatation
High-Frequency Jet Ventilation
Humans
Incidence
Intubation, Intratracheal
Radiotherapy
Stents
Trachea
Tracheal Stenosis*
Tracheostomy
Ventilation