Introduction: Tracheal stenosis after prolonged intubation is a pathology that represents a challenge for the anesthesiologist. Within its management, it must guarantee a permeable airway, adequate oxygenation, hemodynamic stability, adequate extubation and postoperative care. The selection of the treatment depends on the clinical condition of the patient and the tracheal anatomy. Objectives: To show the anesthetic management used in a patient undergoing tracheoplasty. Clinical case: Patient with tracheal stenosis secondary to prolonged intubation with conservative management based on a cannula of montgomery for 6 months with poor response to treatment, restenosis upon removal from the same, so he underwent tracheoplasty. The pre-anesthesia assessment performed is described. The premedication and the anesthetic plan are also exposed, with special emphasis on the transoperative as well as the postoperative care of the patient. Conclusions: Tracheoplasty is a relatively rare surgery, but one of the most challenging for anesthesiologists. To anticipate the course of surgery and design a successful anesthetic plan, it is necessary to understand the cause and characteristics of the tracheal lesion as well as the preoperative evaluation of the patient with tracheal stenosis.
Anesthetic management in tracheoplasty surgery in a patient with tracheal stenosis due to prolonged intubation
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Paper No:
1865