[Maintenance of balance between airway pressure and intracranial pressure in a patient with tracheal stenosis undergoing craniotomy: a case report].
OBJECTIVE
Tracheal stenosis is a rare but a life-threatening condition and anesthesia of a patient with tracheal stenosis is challenging for anesthesiologists. Maintaining stable hemodynamics and ventilation parameters are important issues in neuroanesthesia. Any increase in airway peak pressure and ETCO2 will result in increase in intracranial pressure which must be avoided during craniotomies. Tracheal stenosis could be a reason for increased airway pressure.


METHODS
We described a patient undergoing craniotomy with tracheal stenosis.


CONCLUSIONS
Detailed preparation for intubation, to stabilize airway dynamics and to make the right decision for the surgery were important points. To maintain a good balance between cerebral dynamics and airway dynamics were the pearls of this case.
Ankara University School of Medicine, Department of Anesthesiology and ICU, Ancara, Turquia. Electronic address: drcigdemyldrm@yahoo.com.tr.
Çiğdem Yıldırım
ÇY
Güçlü
Ankara University School of Medicine, Department of Anesthesiology and ICU, Ancara, Turquia.
Başak Ceyda
BC
Meço
Ankara University School of Medicine, Department of Anesthesiology and ICU, Ancara, Turquia.
Meltem
M
Karamustafa
Ankara University School of Medicine, Department of Anesthesiology and ICU, Ancara, Turquia.
Yüksel
Y
Keçik
Craniotomia; Craniotomy; Estenose traqueal; Intracranial pressure; Pressão intracraniana; Tracheal stenosis