title: Maintenance of balance between airway pressure and intracranial pressure in a patient with tracheal stenosis undergoing craniotomy: a case report.
abstract: 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 ETCO2will 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 of a good balance between cerebral dynamics and airway dynamics were the pearls of this case.
authors.affiliation: Ankara University School of Medicine, Department of Anesthesiology and ICU, Ankara, Turkey. Electronic address: drcigdemyldrm@yahoo.com.tr.
authors.forename: Çiğdem Yıldırım
authors.initials: ÇY
authors.lastname: Güçlü
authors.affiliation: Ankara University School of Medicine, Department of Anesthesiology and ICU, Ankara, Turkey.
authors.forename: Başak Ceyda
authors.initials: BC
authors.lastname: Meço
authors.affiliation: Ankara University School of Medicine, Department of Anesthesiology and ICU, Ankara, Turkey.
authors.forename: Meltem
authors.initials: M
authors.lastname: Karamustafa
authors.affiliation: Ankara University School of Medicine, Department of Anesthesiology and ICU, Ankara, Turkey.
authors.forename: Yüksel
authors.initials: Y
authors.lastname: Keçik
mesh_terms: D003399:Craniotomy; D005260:Female; D006801:Humans; D007427:Intracranial Pressure / Q000502:physiology*; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000379:methods; D015656:Respiratory Mechanics / Q000502:physiology; D015173:Supratentorial Neoplasms / Q000503:physiopathology / Q000601:surgery; D014135:Tracheal Stenosis / Q000150:complications* / Q000503:physiopathology
keywords: Craniotomia; Craniotomy; Estenose traqueal; Intracranial pressure; Pressão intracraniana; Tracheal stenosis