Management of airway obstruction following lidocaine nebulization in a case of tracheal stenosis: case report
Kriti Chaudhary, Kamlesh Kumari, Swati Chhabra, Garima Choudhary
Abstract
Stenting for lower tracheal stenosis is a tricky situation and for the safe conduct of anesthesia, it is imperative to maintain spontaneous respiration. Airway topicalization is routinely recommended for anticipated difficult airway. We report a case of upper airway obstruction following lidocaine nebulization in a patient to be taken for tracheal stenting for lower tracheal stenosis. We would like to highlight that close monitoring of the patient is advisable during airway topicalization to detect any airway obstruction at the earliest and how fiberoptic intubation can play a pivotal role to secure the airway in an emergency scenario.
Keywords
References
1 G. Erdös, I. Tzanova Perioperative anaesthetic management of mediastinal mass in adults Eur J Anaesthesiol, 26 (2009), pp. 627-632
2 K.S. Sibert, J.W. Biondi, N.P. Hirsch Spontaneous respiration during thoracotomy in a patient with a mediastinal mass Anesth Analg, 66 (1987), pp. 904-907
3 M. Dubey, S. Pathak, F. Ahmed Topicalisation of airway for awake fibre-optic intubation: Walking on thin ice Indian J Anaesth, 62 (2018), pp. 625-627
4 A.M. Ho, D.C. Chung, E.W. To, et al. Total airway obstruction during local anesthesia in a non-sedated patient with a compromised airway Can J Anaesth, 51 (2004), pp. 838-841
5 P. Wong, J. Wong, M.U. Mok Anaesthetic management of acute airway obstruction Singapore Med J, 57 (2016), pp. 110-117
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email