PERIOPERATIVE AIRWAY MANAGEMENT FOR TRACHEAL RECONSTRUCTION IN A PATIENT WITH SUBGLOTTIC STENOSIS – A CASE REPORT
AbstractBenign subglottic stenosis is a life-threatening condition. It commonly corresponds to postintubation injuries associated with prolonged endotracheal intubation. The surgical correction of a subglottic stenosis presents anaesthetic challenges which are unique to airway anatomy, physiology and shared surgical airway. Management of these patients involves an integrated multidisciplinary approach and close-loop communication with the surgical team regarding tracheal excision and re-anastomosis, proper intubation and extubation strategies and, adequate postoperative care. Here, we present a case of successful management of a nineteen-year-old girl with post-intubation tracheal stenosis who presented with stridor and difficulty breathing after a history of being intubated for 6 days. She was refractory to conservative management and hence was posted for tracheal resection and anastomosis which is the gold standard therapy. This case report throws light on the challenges faced by an anaesthesiologist in the perioperative management of the same.
Article Information
19
1656-1659
738 KB
54
English
IJPSR
T. Jayasree, V. Waindeskar, S. Nag, S. Thakur *, A. Yadav, A. Kaushal and S. Karna
Department of Anaesthesiology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
thakur2soumya@gmail.com
25 December 2024
12 January 2025
20 May 2025
10.13040/IJPSR.0975-8232.16(6).1656-59
01 June 2025
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