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Anesthetic management for bronchoscopy and debulking of obstructing intratracheal tumor

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 challen...

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Autores principales: Uma, B., Kochhar, Anjali, Verma, U. C., Rautela, R. S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4610102/
https://www.ncbi.nlm.nih.gov/pubmed/26543475
http://dx.doi.org/10.4103/1658-354X.165129
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author Uma, B.
Kochhar, Anjali
Verma, U. C.
Rautela, R. S.
author_facet Uma, B.
Kochhar, Anjali
Verma, U. C.
Rautela, R. S.
author_sort Uma, B.
collection PubMed
description 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.
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spelling pubmed-46101022015-11-05 Anesthetic management for bronchoscopy and debulking of obstructing intratracheal tumor Uma, B. Kochhar, Anjali Verma, U. C. Rautela, R. S. Saudi J Anaesth Case Report 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. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4610102/ /pubmed/26543475 http://dx.doi.org/10.4103/1658-354X.165129 Text en Copyright: © Saudi Journal of Anaesthesia http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution NonCommercial ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Uma, B.
Kochhar, Anjali
Verma, U. C.
Rautela, R. S.
Anesthetic management for bronchoscopy and debulking of obstructing intratracheal tumor
title Anesthetic management for bronchoscopy and debulking of obstructing intratracheal tumor
title_full Anesthetic management for bronchoscopy and debulking of obstructing intratracheal tumor
title_fullStr Anesthetic management for bronchoscopy and debulking of obstructing intratracheal tumor
title_full_unstemmed Anesthetic management for bronchoscopy and debulking of obstructing intratracheal tumor
title_short Anesthetic management for bronchoscopy and debulking of obstructing intratracheal tumor
title_sort anesthetic management for bronchoscopy and debulking of obstructing intratracheal tumor
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4610102/
https://www.ncbi.nlm.nih.gov/pubmed/26543475
http://dx.doi.org/10.4103/1658-354X.165129
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