Volume : 2, Issue : 8, August - 2013

Anaesthetic Management of Post Traumatic Tracheal Stenosis

Dr. Reema Meena, Dr. Anjum Saiyed, Dr. Lalit Kejriwal

Abstract :

We hereby present a case of 26 year old male who came with history of progressive eathlessness for 3 weeks following neck trauma in road traffic accident .He was diagnosed as stenosis of mid trachea and now planned for elective tracheal resection and anastomosis under general anaesthesia.This case was done in cardiothoracic operation theater in SMS hospital jaipur(Raj.). A cuffed ET tube was administered orally following induction and Intraoperatively an another cuffed ET tube was passed through the distal segment following resection of stenosed part.After suturing of posterior wall the distal tube pulled back and the proximal one inserted until cuff of this tube cross the suture line of anastomotic site.Accidentally cuff of this tube punctured during suturing of anterior wall.This tube had been exchanged by another cuffed ET tube via suction catheter 14G which one used as a tube exchanger.All precautios to provide adequate oxygenation during surgery were taken