Near total airway obstruction due to tracheal granulations: an anesthesiologist’s nightmare

  • Sukhyanti Kerai Department of Anesthesiology & Critical Care, Maulana Azad Medical College and associated Lok Nayak Hospital, New Delhi, (India)
  • Anju R. Bhalotra Department of Anesthesiology & Critical Care, Maulana Azad Medical College and associated Lok Nayak Hospital, New Delhi, (India)
  • Saipriya Tewari Department of Anesthesiology & Critical Care, Maulana Azad Medical College and associated Lok Nayak Hospital, New Delhi, (India)
  • Anil Misra Department of Anesthesiology & Critical Care, Maulana Azad Medical College and associated Lok Nayak Hospital, New Delhi, (India)
Keywords: Tracheal granulations, Airway obstruction, Anesthesia, Jet ventilation

Abstract

A 17 year old boy, post tracheoplasty, presented to emergency in respiratory distress with presence of stridor at rest. Flexible bronchoscopy revealed granulations at tracheal graft site causing airway stenosis. The presence of graft perculded use of invasive surgical approaches due to risk of damage.The anesthetic management options in this case carried inherent risks of causing total airway obstruction and impairing surgical access. We decided to perform the electrocauterization of tracheal granulations using subglottic jet ventilation while placing the catheter above the stenotic trachea.

 

Published
01-21-2019
How to Cite
Kerai, S., Bhalotra, A. R., Tewari, S., & Misra, A. (2019). Near total airway obstruction due to tracheal granulations: an anesthesiologist’s nightmare. Anaesthesia, Pain & Intensive Care, 480-483. Retrieved from https://mail.apicareonline.com/index.php/APIC/article/view/170
Issue
Vol.20 No.4(2016): October-December
Section
Case Reports