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Year : 2020  |  Volume : 3  |  Issue : 2  |  Page : 88-90

Anaesthetic management following tracheal reconstruction: Two heads are better than one as we navigate the airway challenge!

Department of Anesthesiology, PD Hinduja Hospital and Medical Research Centre, Mumbai, India

Correspondence Address:
Dr. Joseph Nascimento Monteiro
D 61 Nirvana, Bhagoji Keer Marg, Mahim, Mumbai - 400 016, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ARWY.ARWY_24_20

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Being prepared for airway management is of paramount importance in any anaesthetic. This involves knowledge, skill, comprehensive assessment and strategic planning. We present the case of a 17-year-old boy who developed tracheal stenosis following a low-level tracheostomy for prolonged ventilation after polytrauma 2 years prior. The stenosed trachea had been resected and anastomosed 9 months earlier. The patient now presented for brachial plexus repair for a flail dominant right hand. Comprehensive assessment with special focus on the airway, anticipation, interdisciplinary communication with the neurosurgeon and otorhinolaryngological surgeon and consensus planning help in an uneventful and successful surgery.

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