Anesthesia for laser surgery of a tracheal tumor involving the carina: preservation of spontaneous breathing using remifentanil
Kawano, H.; Kawahara, T.; Kakuta, N.; Hamaguchi, E.; Ohshita, N.; Tsutsumi, Y.M.; Tanaka, K.; Tada, F.; Oshita, S.
Masui. Japanese Journal of Anesthesiology 61(2): 182-185
2012
ISSN/ISBN: 0021-4892 PMID: 22413442 Document Number: 658947
We describe anesthetic management of a patient with airway stenosis due to a tracheal tumor involving the carina. A 68-year-old man developed dyspnea and was scheduled for YAG laser surgery under general anesthesia. Awake fiberoptic intubation was selected for anesthesia induction, and percutaneous cardiopulmonary support (PCPS) was ready to be established prior to induction of anesthesia. Anesthesia was maintained with remifentanil (0.05 microg x kg(-1) x min(-1)) and propofol (2 mg x kg(-1) x hr(-1)), and spontaneous breathing was preserved throughout the surgical procedure. The operation was completed successfully without any adverse events, and PCPS was not used. In this patient, preservation of spontaneous breathing using remifentanil was found to be useful for airway management.