Leiomyoma of trachea: An anaesthetic challenge
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The presentation of the tracheal tumour depends on the location of the tumour, its size and changes in the lung, distal to the lesion. These patients usually become symptomatic when the tumour starts obstructing more than 75% of the tracheal lumen.They are usually misdiagnosed and treated inappropriately for asthma.
Management of airway of these patients who present with critical tracheal stenosis presents a formidable challenge to the anaesthesiologist. A problem in such cases arises due to the difficulty in establishing a patent airway, providing space for operation, need to control bleeding and prevention of tumour tissue from travelling distally into a tracheobronchial tree while resecting the primary tumour. We report, the anaesthetic management for successful removal of an intratracheal tumour in a young female using rigid bronchoscopy...

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