Anesthetic management of a patient with esophageal penetration of a tracheal stent: a case report

JA Clinical Reports
Yoko HoriAtsuhiro Sakamoto

Abstract

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

References

Apr 23, 2003·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Scott A ZakaluznyEric A Mair
Jun 11, 2005·Chest·William LunnArmin Ernst
Aug 10, 2005·Seminars in Respiratory and Critical Care Medicine·Sudish C MurthyAtul C Mehta
Nov 1, 2005·British Journal of Anaesthesia·N DavisA J Crerar-Gilbert

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