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Korean Journal of Anesthesiology 2006;51(4):499-503.
DOI: https://doi.org/10.4097/kjae.2006.51.4.499   
Anesthetic Management using Laryngeal Mask Airway during Tracheotomy and End-to-End Anastomosis in a Patient with Upper Tracheal Stenosis: A case report.
Tae Myoung Kwon, Mi Ja Yun, Jong Man Kang, Ah Young Oh
1Department of Anesthesiology, Seoul National University College of Medicine, Seoul, Korea.
2Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. oay1@snubh.org
3Kyung Hee East-West Neo Medical Center, Seongnam, Korea.
Tracheotomy and end-to-end anastomosis is a relatively rare operation, but it is one of the most challenging for anesthesiologists. During surgery, the principal anesthetic consideration is to maintain the ventilation and oxygenation throughout the procedure. We experienced anesthetic management of a 49-year-old man with upper tracheal stenosis after long-term intubation and ventilation care. The stenotic lesion was located at 2 cm below the vocal cords, and the length of the stenotic segment was about 2 cm. The anesthesia was induced and maintained with intravenous propofol and alfentanil. The airway was managed with LMA and distal tracheal intubation on the surgical field and we were able to maintain adequate ventilation and oxygenation throughout the operational period.
Key Words: laryngeal mask airway; tracheotomy and end-to-end anastomosis; tracheal stenosis


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