Anesthetic management for tracheal stent removal with severe scar stenosis

  • Ting Yang Department of Anesthesiology, Southwest JiaoTong University, The Third Peoples Hospital of Chengdu, 82 Qinglong St, Luo Ma Shi, Qingyang District, Chengdu, Sichuan, China.
  • Muhammad Saqib Mudabbar Department of Cardiovascular Medicine, Southwest Medical University, Luzhou City, Sichuan province, China.
  • Qiang Fu Department of Anesthesiology, Southwest JiaoTong University, The Third Peoples Hospital of Chengdu, 82 Qinglong St, Luo Ma Shi, Qingyang District, Chengdu, Sichuan, China.
  • Bin Liu Department of Anesthesiology, West China Hospital, Sichuan University, #37 Guoxue Alley, Wuhou District, Chengdu, Sichuan Province, China.
DOI: https://doi.org/10.35975/apic.v25i3.1521
Keywords: Dyspnea, Bronchoscopy, Tracheal intubation, Mechanical ventilation

Abstract

A 28-year-old patient, ASA Grade II, was admitted to the hospital with dyspnea for the last few months. Upon bro

choscopy, tracheal stenosis was observed and the symptoms were temporarily relieved by balloon dilation. The patient was then given argon knife treatment and the bronchial lesions were resected through a bronchoscope. Then two tracheal stents were placed to relieve the symptoms of dyspnea which too failed and had to be removed. Since the patient had a history of traumatic brain injury more than a year ago and underwent tracheal intubation, tracheostomy, invasive ventilator ventilation, and extubation after the condition improved. Stent removal had significant anesthetic challenges due to the small size of the lumen. After going through a few anesthesia plans, a high-frequency jet ventilator was used to maintain oxygen saturation. The procedure was successful and the patient showed a good prognosis.

Key words: Dyspnea; Bronchoscopy; Tracheal intubation; Mechanical ventilation

Citation: Yang T, Mudabbar MS, Fu Q, Liu B. Anesthetic management for tracheal stent removal with severe scar stenosis. Anaesth. pain intensive care 2021;25(3):391–394. DOI: doi.org/10.35975/apic.v25i3.1521

Received: January 21, 2021; Reviewed: March 1, 2021; Accepted: March 9, 2021

Published
06-02-2021
How to Cite
Yang, T., Mudabbar, M., Fu, Q., & Liu, B. (2021). Anesthetic management for tracheal stent removal with severe scar stenosis. Anaesthesia, Pain & Intensive Care, 25(3), 391–394. https://doi.org/10.35975/apic.v25i3.1521
Issue
Vol 25 No 3 (2021): May-June
Section
Case Reports