The online version of this article (doi:10.1186/1752-1947-8-292) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
ZBZ did literature research and drafted the manuscript. XYY participated in coordination and helped prepare the manuscript. XZ collected the patient’s data and did the graphical design. SHW obtained the patient’s CT scan and X-ray photo and helped with graphical design. YX assisted with topical anesthesia and intravenous drug administration and revised the manuscript. XF performed the intubation and did the final revision of the manuscript. All authors read and approved the final manuscript.
Anesthetic management with airway stenosis is challenging. Techniques for maintaining spontaneous respiration are required under sedative and analgesic conditions.
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.
In cases of extreme airway stenosis, intubation can be safely achieved with dexmedetomidine sedation and remifentanil analgesia.
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