Sudden Tracheal Collapse during EGD and Subsequent Anesthetic Management with Dexmedetomidine-Ketamine in a Patient with Achalasia and Tracheomalacia | Zendy

Joshua H. Atkins | Zendy; Jeff E. Mandel | Zendy; David C. Metz | Zendy

Open Access

Sudden Tracheal Collapse during EGD and Subsequent Anesthetic Management with Dexmedetomidine-Ketamine in a Patient with Achalasia and Tracheomalacia

Author(s) -

Joshua H. Atkins,

Jeff E. Mandel,

David C. Metz

Publication year - 2011

Publication title -

case reports in anesthesiology

Language(s) - English

Resource type - Journals

eISSN - 2090-6390

pISSN - 2090-6382

DOI - 10.1155/2011/281679

Subject(s) - medicine , dexmedetomidine , tracheomalacia , achalasia , esophagogastroduodenoscopy , sedation , anesthesia , ketamine , airway obstruction , airway , airway management , surgery , endoscopy , esophagus

We present a patient who experienced airway obstruction during an elective esophagogastroduodenoscopy (EGD) under anesthesia secondary to previously undiagnosed tracheomalacia. Physiology of airway obstruction with forced breathing maneuvers is discussed along with the potential advantages of dexmedetomidine-ketamine sedation for management of patients with achalasia undergoing outpatient endoscopic procedures.

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