Laryngeal mask airway in patients with tracheal stents who are undergoing non-airway related interventions: report of three cases.
The tracheal stent is an alternative nonsurgical management tool for patients with tracheal stenosis caused by disease or iatrogenic trauma. Some patients with tracheal stent may need to be anesthetized to allow invasive techniques or surgery to be performed. In these patients, general anesthesia by endotracheal intubation may dislodge the stent distally or cause lethal complications such as bleeding. We describe three patients with a tracheal stent in place, who were anesthetized using a Laryngeal Mask Airway for surgery, with smooth results.
Hung
Wei-Te
WT
Department of Anesthesiology, Chung Shan Medical University Hospital, Taichung, Taiwan. hung@biostat.Columbia.edu
Liao
Shin-Ming
SM
Su
Jang-Ming
JM
D000368:Aged; D000768:Anesthesia, General / Q000379:methods*; D018685:Anesthetics, Inhalation / Q000627:therapeutic use; D018686:Anesthetics, Intravenous / Q000627:therapeutic use; D001279:Atracurium / Q000627:therapeutic use; D000077335:Desflurane; D005283:Fentanyl / Q000627:therapeutic use; D006801:Humans; D007530:Isoflurane / Q000031:analogs & derivatives* / Q000627:therapeutic use; D017214:Laryngeal Masks; D008297:Male; D008738:Methyl Ethers / Q000627:therapeutic use; D008875:Middle Aged; D003473:Neuromuscular Nondepolarizing Agents / Q000627:therapeutic use; D015742:Propofol / Q000627:therapeutic use; D000077149:Sevoflurane; D015607:Stents; D013514:Surgical Procedures, Operative / Q000379:methods*; D014135:Tracheal Stenosis / Q000628:therapy*
D018685:Anesthetics, Inhalation; D018686:Anesthetics, Intravenous; D008738:Methyl Ethers; D003473:Neuromuscular Nondepolarizing Agents; D001279:Atracurium; D000077149:Sevoflurane; D000077335:Desflurane; D007530:Isoflurane; D005283:Fentanyl; D015742:Propofol