Anaesthetic management of a patient with low tracheal obstruction requiring placement of a T-Y stent.
A 60-year-old man with a history of oesophagectomy for carcinoma presented with worsening dysphagia, dyspnoea and tachypnoea secondary to oesophageal stricture and tumour invasion of the trachea causing a "ball-valve" obstruction. The patient required placement of a T-Y tracheobronchial stent to relieve the airway obstruction and was successfully managed using sevoflurane for gaseous induction followed by maintenance with propofol total intravenous anaesthesia.
Wong
A Y
AY
Department of Anaesthesiology, Queen Mary Hospital, Hong Kong.
Lawmin
J C
JC
Irwin
M G
MG
D000758:Anesthesia / Q000379:methods*; D019162:Anesthetics, Combined; D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D000818:Animals; D001980:Bronchi; D006224:Cricetinae; D004938:Esophageal Neoplasms / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D008738:Methyl Ethers; D008875:Middle Aged; D010166:Palliative Care; D011183:Postoperative Complications; D015742:Propofol; D000077149:Sevoflurane; D015607:Stents; D014132:Trachea; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery*
D019162:Anesthetics, Combined; D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D008738:Methyl Ethers; D000077149:Sevoflurane; D015742:Propofol