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01.12.2014 | Case report | Ausgabe 1/2014 Open Access

Journal of Medical Case Reports 1/2014

Anesthetic manipulation in extreme airway stenosis: a case report

Zeitschrift:
Journal of Medical Case Reports > Ausgabe 1/2014
Autoren:
Zhi-Bin Zhou, Xiao-Yu Yang, Xue Zhou, Shi-Hong Wen, Ying Xiao, Xia Feng
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-8-292) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

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.

Abstract

Introduction

Anesthetic management with airway stenosis is challenging. Techniques for maintaining spontaneous respiration are required under sedative and analgesic conditions.

Case presentation

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.

Conclusion

In cases of extreme airway stenosis, intubation can be safely achieved with dexmedetomidine sedation and remifentanil analgesia.

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Zusatzmaterial
Authors’ original file for figure 1
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Authors’ original file for figure 2
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Authors’ original file for figure 3
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Literatur
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