[Anesthetic management of tracheobronchial stent insertion in patients who underwent laser resection, balloon dilatation and tracheostomy in advance].
BACKGROUND
We report successful management of tracheobronchial stent insertion under general anesthesia.


METHODS
In thirty-two cases, tracheobronchial stent insertion was performed under general anesthesia. The technique for airway management was chosen depending on the type of stent or the constriction level of the airway portion. We employed tracheostomy in order to avoid repeated intubations during the insertion of Dumon or Dynamic stent. In case of severe airway stenosis, laser resection or balloon dilatation was performed before stent insertion.


RESULTS
We had 32 successful cases in 36 trials. Four trials failed due to insufficient expansion in one, mismatches of stent angle in one and pneumomediastinum in one. There was no exacerbation of respiratory condition in failed cases. There was no case who needed percutaneous cardiopulmonary support system.


CONCLUSIONS
We managed tracheobronchial stent insertion under general anesthesia. Both the airway expansion by laser resection or balloon dilatation before stent insertion and also the insertion of Dumon or Dynamic stent through a tracheostomy were helpful strategies. These techniques facilitated more definitive airway maintenance and stable anesthetic management.
Hirai
Akiko
A
Department of Anesthesiology, Yokohama City University Medical Center, Yokohama.
Hirose
Yoshifumi
Y
Gamoh
Masahiro
M
Satoh
Minako
M
D000402:Airway Obstruction / Q000628:therapy; D000768:Anesthesia, General / Q000379:methods*; D001980:Bronchi / Q000601:surgery; D002404:Catheterization; D006801:Humans; D053685:Laser Therapy; D008175:Lung Neoplasms / Q000628:therapy; D015607:Stents; D014132:Trachea / Q000601:surgery; D014135:Tracheal Stenosis / Q000628:therapy; D014139:Tracheostomy