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.
Highlights
Tracheal stent is a good way to maintain a patent airway in case of stenosis
General anesthesia can be safely induced under spontaneous ventilation through a laryngeal mask airway in a patient with a fractured tracheal stent
Anesthesia techniques for the placement of a stent in the trachea of patients with tracheal stenosis have been reported [1, 2], few papers have discussed the management of general anesthesia in patients with a tracheal stent
Summary
Anesthesia techniques for the placement of a stent in the trachea of patients with tracheal stenosis have been reported [1, 2], few papers have discussed the management of general anesthesia in patients with a tracheal stent This case report describes a rare event of fracture and penetration of the tracheal stent into the esophagus. Case presentation A 65-year-old man (height 155 cm, weight 47 kg) was diagnosed with rectal cancer and was scheduled to undergo open colectomy He had a medical history of limited-disease small cell lung cancer with tracheal stenosis; a tracheal stent procedure had been performed 8 years ago (Fig. 1). We planned general-epidural anesthesia via spontaneous breathing because we were concerned that an increase in the airway pressure due to positive pressure ventilation may cause mediastinal emphysema. The operation was completed safely, and the LMA was removed at the end of the procedure without any complication
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