Spontaneous respiration via an open trachea for resection of a high tracheal stenosis in a child.
The successful management of tracheal stenosis requires compromise between the competing interests of the surgical and anaesthetic teams and the resources available. A seven-year-old girl with marked tracheal stenosis was successfully managed spontaneously breathing via an open trachea and a laryngeal mask. Anaesthesia was maintained by propofol infusion. When the trachea was opened, supplemental oxygen was administered via a modified cholangiocatheter placed into the distal segment. At no point was the trachea intubated.
Department of Anaesthesia, Vila Central Hospital, Port Vila, Vanuatu.
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Grace
D000714:Anastomosis, Surgical; D000758:Anesthesia / Q000379:methods; D002648:Child; D005260:Female; D006801:Humans; D017214:Laryngeal Masks; D012121:Respiration, Artificial / Q000379:methods; D014132:Trachea / Q000293:injuries / Q000601:surgery*; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery*