Tracheal Stenosis With Intraoperative Airway Loss
This is a 30-year-old male with a history of COVID-pneumonia requiring intubation with subsequent development of tracheal stenosis presenting for bronchoscopy with tracheal dilation. After LMA insertion, he was found to have inadequate volumes and EtCO2. Decision was made to intubate, however, the ETT was unable to be passed through the vocal cords. Bag mask ventilation with an oral airway was successful with appropriate tidal volumes. After bronchoscopy began, he became hypoxic and underwent cardiac arrest. ROSC was achieved and the patient underwent emergent tracheostomy. We will discuss challenges in patients with tracheal stenosis and management of intraoperative airway loss.
Khan R, Patel P, Soto RG. Tracheal stenosis with intraoperative airway loss. Presented at: American Society of Anesthesiologists Annual Meeting; 2023 Oct 14; San Francisco, CA.