title: [Anesthesia for laser surgery of a tracheal tumor involving the carina: preservation of spontaneous breathing using remifentanil].
abstract: We describe anesthetic management of a patient with airway stenosis due to a tracheal tumor involving the carina. A 68-year-old man developed dyspnea and was scheduled for YAG laser surgery under general anesthesia. Awake fiberoptic intubation was selected for anesthesia induction, and percutaneous cardiopulmonary support (PCPS) was ready to be established prior to induction of anesthesia. Anesthesia was maintained with remifentanil (0.05 microg x kg(-1) x min(-1)) and propofol (2 mg x kg(-1) x hr(-1)), and spontaneous breathing was preserved throughout the surgical procedure. The operation was completed successfully without any adverse events, and PCPS was not used. In this patient, preservation of spontaneous breathing using remifentanil was found to be useful for airway management.
authors.affiliation: Department of Anesthesiology and Clinical Research, National Hospital Organization Zentsuji Hospital, Zentsuji 765-8507.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Kawano
authors.forename: Tomiya
authors.initials: T
authors.lastname: Kawahara
authors.forename: Nami
authors.initials: N
authors.lastname: Kakuta
authors.forename: Eisuke
authors.initials: E
authors.lastname: Hamaguchi
authors.forename: Naohiro
authors.initials: N
authors.lastname: Ohshita
authors.forename: Yasuo M
authors.initials: YM
authors.lastname: Tsutsumi
authors.forename: Katsuya
authors.initials: K
authors.lastname: Tanaka
authors.forename: Fumihiko
authors.initials: F
authors.lastname: Tada
authors.forename: Shuzo
authors.initials: S
authors.lastname: Oshita
mesh_terms: D000368:Aged; D058109:Airway Management / Q000379:methods*; D000768:Anesthesia, General / Q000379:methods*; D004417:Dyspnea / Q000209:etiology; D006801:Humans; D053685:Laser Therapy; D053844:Lasers, Solid-State / Q000627:therapeutic use*; D008297:Male; D010880:Piperidines; D000077208:Remifentanil; D012119:Respiration; D014134:Tracheal Neoplasms / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D010880:Piperidines; D000077208:Remifentanil