title: [Inhalation anesthesia during spontaneous ventilation in a patient with a tracheolaryngeal transplant requiring debridement of fibrous tissue obstructing the lumen].
abstract: Graft stenosis from fibrous granulation tissue is not an uncommon problem in recipients of a transplanted trachea and larynx. We describe the case of a man with a transplanted trachea who was seen for respiratory difficulty and stridor secondary to stenosis. Examination through a rigid bronchoscope and surgical debridement were both performed under anesthesia with sevoflurane alone while the man breathed spontaneously. The outcome of treatment with sequential debridements of fibrotic tissue and autologous stem cell injection was satisfactory and the patient was discharged.
authors: Fundación Valle de Lilli, Colombia. fredyariza2005@yahoo.com
authors: F
authors: F
authors: Ariza Cadena
authors: L Fernando
authors: LF
authors: González
authors: M A
authors: MA
authors: Palacio Arboleda
authors: L Fernando
authors: LF
authors: Tintinago
authors: A
authors: A
authors: Agudelo Quintana
mesh_terms: D000328:Adult; D000402:Airway Obstruction / Q000209:etiology / Q000601:surgery*; D000769:Anesthesia, Inhalation / Q000379:methods*; D018685:Anesthetics, Inhalation; D001999:Bronchoscopy; D003646:Debridement; D005355:Fibrosis; D006097:Granulation Tissue / Q000601:surgery; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007830:Larynx / Q000637:transplantation*; D008297:Male; D008738:Methyl Ethers; D009336:Necrosis; D011014:Pneumonia / Q000628:therapy; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D012119:Respiration; D000077149:Sevoflurane; D033581:Stem Cell Transplantation; D014132:Trachea / Q000637:transplantation*; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery*; D014182:Transplantation, Autologous
chemical_list: D018685:Anesthetics, Inhalation; D008738:Methyl Ethers; D000077149:Sevoflurane