Abstract

Symptomatic airway stenosis requires repeated interventions, such as, dilatation, laser resection, stent implantation, or surgery, and the anesthetic management of upper airway stenosis is complicated due to the risk of respiratory problems while facilitating optimal surgical conditions. The authors described a case of successful monitored anesthetic care with target-controlled propofol and remifentanil infusion during prolonged laser ablation in a patient who developed upper airway stenosis after endotracheal intubation.

Highlights

  • Acquired subglottic stenosis may be caused by prolonged endotracheal intubation and mechanical ventilation, and symptomatic airway stenosis requires repeated interventions, such as, dilatation, laser resection, stent implantation, or surgery

  • Many reports have described the anesthetic management of intrinsic upper central airway obstruction [3], no report has described the use of monitored anesthetic care (MAC) based on a combination of propofol and remifentanil

  • We describe a case of successful MAC based on the target-controlled infusion (TCI) of propofol and remifentanil during laser ablation in a patient that developed upper airway stenosis after prolonged endotracheal intubation

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Summary

Introduction

Acquired subglottic stenosis may be caused by prolonged endotracheal intubation and mechanical ventilation, and symptomatic airway stenosis requires repeated interventions, such as, dilatation, laser resection, stent implantation, or surgery. Anesthetic management for airway intervention in patients with upper airway stenosis is complicated by the challenge of maintaining the airway during anesthesia and providing optimal surgical conditions. Propofol is the most commonly used sedative during monitored anesthetic care (MAC) because of its rapid onset, easy titration, and short duration [1].

Results
Conclusion

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