title: Anesthetic management of a patient undergoing segmental resection of trachea with an endotracheal neurofibroma and nearly total occlusion of trachea.
abstract: We report a case of endotracheal (ET) neurofibroma with resultant severe airway obstruction undergoing segmental resection of the trachea. After the extracorporeal membrane oxygenation system (ECMO) was set up handily for use and comprehensive monitoring system was established, ET intubation under fiberoptic bronchoscopy (FOB) was performed under mild sedation. Surgery and anesthesia proceeded uneventfully and she was discharged uneventfully. Thorough preoperative evaluation, comprehensively anesthetic planning, FOB-assisted ET intubation before induction of anesthesia were mandatory to achieve a safe and delicate anesthesia for such a patient. In critical situation, conduction of anesthesia after establishment of ECMO support would be another choice.
authors.affiliation: Department of Anesthesiology, Taipei Veterans General Hsopital, Taipei, Taiwan, ROC.
authors.forename: Pin-Tarng
authors.initials: PT
authors.lastname: Chen
authors.forename: Wen-Kuei
authors.initials: WK
authors.lastname: Chang
authors.forename: Wen-Hu
authors.initials: WH
authors.lastname: Hsu
authors.forename: Chun-Sung
authors.initials: CS
authors.lastname: Sung
authors.forename: Kwok-Han
authors.initials: KH
authors.lastname: Chan
authors.forename: Shen-Kou
authors.initials: SK
authors.lastname: Tsai
mesh_terms: D000328:Adult; D000758:Anesthesia / Q000379:methods*; D001999:Bronchoscopy; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal; D009455:Neurofibroma / Q000601:surgery*; D014132:Trachea / Q000601:surgery*; D014134:Tracheal Neoplasms / Q000601:surgery*; D014135:Tracheal Stenosis / Q000601:surgery*