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- Title
Anesthetic management of a patient with esophageal penetration of a tracheal stent: a case report.
- Authors
Hori, Yoko; Kishikawa, Hiroaki; Sakamoto, Atsuhiro
- Abstract
Background: Tracheal stent is a good way to maintain a patent airway in case of stenosis. Although anesthesia techniques for the placement of a stent in the trachea of patients with tracheal stenosis have been reported, the management of general anesthesia in patients with a tracheal stent is not well established. Case presentation: We report the anesthetic management in the patient with a partly fractured tracheal stent. A 65-year-old man with colon cancer was scheduled for colectomy under general anesthesia. Eight years ago, a tracheal stent was placed because of lung cancer. Preoperative evaluation revealed that a part of the tracheal stent had penetrated the esophagus. We induced general-epidural anesthesia via spontaneous breathing through a laryngeal mask airway to avoid mediastinal emphysema caused by positive pressure ventilation. The patient has been followed up for 2 years without any respiratory complications. Conclusion: General anesthesia can be safely induced under spontaneous ventilation through a laryngeal mask airway in a patient with a fractured tracheal stent.
- Subjects
TRACHEAL surgery; GENERAL anesthesia; COLECTOMY; LARYNGEAL masks
- Publication
JA Clinical Reports, 2016, Vol 2, Issue 1, p1
- ISSN
2363-9024
- Publication type
Article
- DOI
10.1186/s40981-016-0068-z