RESUMO
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.
Assuntos
Humanos , Estenose Traqueal/cirurgia , Obstrução das Vias Respiratórias/etiologia , Anestesia , Manuseio das Vias Aéreas , Intubação Intratraqueal , LidocaínaRESUMO
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.
Assuntos
Obstrução das Vias Respiratórias , Anestesia , Estenose Traqueal , Humanos , Lidocaína , Estenose Traqueal/cirurgia , Intubação Intratraqueal , Obstrução das Vias Respiratórias/etiologia , Manuseio das Vias AéreasAssuntos
Anestésicos Inalatórios , Delírio do Despertar , Éteres Metílicos , Propofol , Humanos , Criança , Sevoflurano/efeitos adversos , Propofol/efeitos adversos , Delírio do Despertar/epidemiologia , Incidência , Éteres Metílicos/efeitos adversos , Anestesia Geral/efeitos adversos , Período de Recuperação da Anestesia , Anestésicos Inalatórios/efeitos adversosRESUMO
The number of critically-ill coronavirus disease 2019 (Covid-19) patients requiring mechanical ventilation is on the rise. Most guidelines suggest keeping the patient intubated and delay elective tracheostomy. Although the current literature does not support early tracheostomy, the number of patients undergoing it is increasing. During the pandemic, it is important that surgeons and anesthesiologists know the different aspects of tracheostomy in terms of indication, procedure, tube care and complications. A literature search was performed to identify different guidelines and available evidence on tracheostomy in Covid-19 patients. The purpose of the present article is to generate an essential scientific evidence for life-saving tracheostomy procedures.