Anaesthetic management of left main bronchial glomus tumour
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Anaesthetic management of surgery for tumours involving the respiratory tract poses a significant challenge due to a need for control of ventilation, oxygenation and providing a good operative field. This necessitates advance planning and good teamwork between the anesthesiologist, surgeon and theatre nurses. The main anaesthetic considerations are one lung ventilation, maintenance of airway and ventilation with an open airway. The various techniques which can be used depending on the location, pathology and type of tumour. Glomus tumours involving bronchus are rare. Surgical resection is the treatment of choice for this tumour, with an excellent prognosis. The nature and location of tumour pose a significant challenge for perioperative anaesthetic management. However, there is a paucity of case reports on anaesthetic risks involved in a case of a bronchial glomus tumour. We present a case of glomus tumour involving left main stem bronchus, subjected to bronchial sleeve resection. The various anaesthetic implications of this tumour type and airway management with right double lumen tube are discussed...

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