title: Anesthetic management for bronchoscopy and debulking of obstructing intratracheal tumor.
abstract: Primary tracheal tumors comprise a rare group of benign and malignant tumors. Bronchoscopy is required for diagnosis and staging of tracheal neoplasms as well as debulking of the tumor. The management of anesthesia for rigid bronchoscopy in a patient with tracheal neoplasm presents with many challenges to the anesthetist. We present anesthetic management of an 18-year-old female who presented with orthopnea. Computed tomography scan of the thorax revealed a polypoidal lesion in the trachea proximal to carina and consolidation in the right middle lobe. The patient was scheduled for rigid bronchoscopy and debulking of the tumor. Case was successfully managed by providing positive pressure ventilation and oxygenation during rigid bronchoscopy using manual ventilation through the side port of the rigid bronchoscope. The procedure was uneventful, and patient improved symptomatically in the immediate postoperative period. The successful management of this case demonstrates the airway management in a patient with tracheal tumor for rigid bronchoscopy.
authors.affiliation: Department of Cardiac Anesthesia, AIIMS, New Delhi, India.
authors.forename: B
authors.initials: B
authors.lastname: Uma
authors.affiliation: Department of Anesthesia, Hamdard Institute of Medical Sciences and Research, New Delhi, India.
authors.forename: Anjali
authors.initials: A
authors.lastname: Kochhar
authors.affiliation: Department of Anesthesia, Maulana Azad Medical College and LNJP Hospital, New Delhi, India.
authors.forename: U C
authors.initials: UC
authors.lastname: Verma
authors.affiliation: Department of Anesthesia, University College of Medical Sciences and GTB Hospital, New Delhi, India.
authors.forename: R S
authors.initials: RS
authors.lastname: Rautela
keywords: Bronchoscopy; high frequency jet ventilation; intratracheal tumor; positive pressure ventilation; rigid bronchoscope