title: Anesthetic manipulation in extreme airway stenosis: a case report.
abstract: BACKGROUND
  Anesthetic management with airway stenosis is challenging. Techniques for maintaining spontaneous respiration are required under sedative and analgesic conditions.
  
  
  METHODS
  A 35-year-old Chinese woman presented to our hospital with difficulty breathing. Computerized tomography showed a tumor in the frontal area of her neck, which was causing extreme narrowing of her trachea. She was immediately scheduled for emergency surgery to remove the tumor. Fiberscopic intubation was carefully performed with dexmedetomidine sedation and remifentanil analgesia. Spontaneous respiration was successfully maintained.
  
  
  CONCLUSIONS
  In cases of extreme airway stenosis, intubation can be safely achieved with dexmedetomidine sedation and remifentanil analgesia.
authors.forename: Zhi-Bin
authors.initials: ZB
authors.lastname: Zhou
authors.forename: Xiao-Yu
authors.initials: XY
authors.lastname: Yang
authors.forename: Xue
authors.initials: X
authors.lastname: Zhou
authors.forename: Shi-Hong
authors.initials: SH
authors.lastname: Wen
authors.forename: Ying
authors.initials: Y
authors.lastname: Xiao
authors.affiliation: Department of Anesthesiology, First Affiliated Hospital of Sun Yat-Sen University, No, 58 Zhongshan 2nd Road, Guangzhou 510080, PR China. fengxia@mail.sysu.edu.cn.
authors.forename: Xia
authors.initials: X
authors.lastname: Feng
mesh_terms: D000328:Adult; D000402:Airway Obstruction / Q000209:etiology* / Q000601:surgery; D003251:Constriction, Pathologic / Q000209:etiology / Q000601:surgery; D020927:Dexmedetomidine; D005260:Female; D006258:Head and Neck Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D006993:Hypnotics and Sedatives; D007442:Intubation, Intratracheal / Q000379:methods*; D010880:Piperidines; D000077208:Remifentanil; D014057:Tomography, X-Ray Computed / Q000379:methods
chemical_list: D006993:Hypnotics and Sedatives; D010880:Piperidines; D020927:Dexmedetomidine; D000077208:Remifentanil