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
Summary
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].
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.