Airway

CASE REPORT
Year
: 2019  |  Volume : 2  |  Issue : 2  |  Page : 103--105

Anaesthetic management of a patient with difficult airway for T-tube insertion


Bhavna Gupta1, Bharti Wadhwa2, Prachi Gaba2, Kirti Nath Saxena2 
1 Department of Anaesthesia, AIIMS, Rishikesh, Uttarakhand, India
2 Department of Anaesthesia, MAMC and Lok Nayak Hospital, New Delhi, India

Correspondence Address:
Dr. Bhavna Gupta
4/4, AIIMS Campus, Rishikesh, Uttarakhand
India

A 60-year-old male, case of benign oesophageal stricture and unresectable carcinoma bucco-alveolar mucosa had suffered tracheal injury during oesophagectomy for refractory oesophageal stricture. Tracheal repair was done with rectus sheath graft over tracheostomy tube and he was now posted for T-tube insertion. There are various techniques reported for this procedure. Anaesthesiologists should be aware of surgical technique, limitations of T-tube, loss of depth of anaesthesia during tube change, and should be vigilant during all the steps of the procedure. We used total intravenous anaesthesia (TIVA) as a technique with propofol and dexmedetomidine for providing safe and effective anaesthesia during this procedure. Perioperative period was uneventful.


How to cite this article:
Gupta B, Wadhwa B, Gaba P, Saxena KN. Anaesthetic management of a patient with difficult airway for T-tube insertion.Airway 2019;2:103-105


How to cite this URL:
Gupta B, Wadhwa B, Gaba P, Saxena KN. Anaesthetic management of a patient with difficult airway for T-tube insertion. Airway [serial online] 2019 [cited 2020 Feb 25 ];2:103-105
Available from: http://www.arwy.org/article.asp?issn=2665-9425;year=2019;volume=2;issue=2;spage=103;epage=105;aulast=Gupta;type=0