Airway management for tracheal stent insertion in a patient
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Airway management in a patient with a tracheal stenosis undergoing stent insertion poses a significant challenge to the anesthesiologist who has to ensure adequate ventilation in the presence of a stenotic segment and maintain adequate depth of anaesthesia to suppress the stress response. The airway management and ventilation technique for tracheal stent insertion in a patient with difficult airway is described in this case report.A 56 year old, 45 kg male patient developed progressively worsening dyspnea after having undergone chemotherapy for non-small cell carcinoma of trachea. On examination, the patient was in respiratory distress with inspiratory stridor and marked bilateral wheezing. Upper airway was assessed to be normal with a Mallampati Class II. Bronchoscopic examination revealed a tight stricture getting intermittently blocked by inflammation and secretions. Patient was scheduled for interventional bronchoscopy with insertion of Dumon Y – stent across the stenotic trachea...

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