Anesthetic management for tracheal stent removal with severe scar stenosis

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