[Anesthetic management for bronchoscopy in patients with congenital tracheomalacia].

Abstract

We experienced the anesthetic management for two patients with congenital tracheomalacia. Inhaled anesthetics are considered to worsen the respiratory condition of tracheomalacia because of its bronchodilating effect. Thus we tried awake intubation in one case, but it was difficult. In another case, we used slow induction with sevoflurane and the trachea was intubated smoothly. Inhaled anesthetics have possibility of worsening the degree of tracheomalacia and have been used very carefully. However, we considered that slow induction with inhaled anesthetics in children with congenital tracheomalacia is a safe and necessary technique, under careful observation of respiratory conditions.

• Authors: H Kurokawa, S Takeyoshi, S Tsuno, T Maekawa, N Tahara, T Suyama
• Journal: Masui. The Japanese journal of anesthesiology (Masui) Vol. 46 Issue 9 Pg. 1251-4 (Sep 1997) ISSN: 0021-4892 [Print] Japan
• PMID: 9411037 (Publication Type: Case Reports, Journal Article)

Chemical References

• Anesthetics, Combined
• Anesthetics, Inhalation
• Ethers
• Methyl Ethers
• Sevoflurane
• Nitrous Oxide
• Oxygen

Topics

• Anesthesia, Inhalation
• Anesthetics, Combined
• Anesthetics, Inhalation
• Bronchoscopy
• Ethers
• Female
• Humans
• Infant
• Infant, Newborn
• Male
• Methyl Ethers
• Nitrous Oxide
• Oxygen
• Sevoflurane
• Trachea (pathology)
• Tracheal Diseases (congenital, diagnosis)