Anesthetic management of a patient with esophageal penetration of a tracheal stent: a case reportReport as inadecuate




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JA Clinical Reports

, 2:42

First Online: 03 December 2016Received: 30 August 2016Accepted: 30 November 2016DOI: 10.1186-s40981-016-0068-z

Cite this article as: Hori, Y., Kishikawa, H. & Sakamoto, A. JA Clin Rep 2016 2: 42. doi:10.1186-s40981-016-0068-z

Abstract

BackgroundTracheal 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 presentationWe 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.

ConclusionGeneral anesthesia can be safely induced under spontaneous ventilation through a laryngeal mask airway in a patient with a fractured tracheal stent.

KeywordsTracheal stent Laryngeal mask AbbreviationsCTComputed tomography

LMALaryngeal mask airway

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Author: Yoko Hori - Hiroaki Kishikawa - Atsuhiro Sakamoto

Source: https://link.springer.com/







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