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

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

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
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ARWY.ARWY_15_19

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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.

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