Open AccessTIVA-A Promising Approach to Anaesthetic Management of Montgomery T-tube Insertion
Author(s) -
Ashwini H Ramaswamy,
Madhuri S Kurdi,
Sindhupriya
Publication year - 2015
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2015/13563.6395
Subject(s) - medicine , intubation , tracheal stenosis , tracheal tube , propofol , surgery , anesthesia , airway , tracheal intubation , airway management , tube (container) , stenosis , radiology , mechanical engineering , engineering
One of the treatment modalities for tracheal stenosis is tracheal dilatation and stenting using silicone Montgomery T-tube. Various techniques have been reported for this procedure. For safe anaesthetic management, anaesthesiologist must be aware of the surgical procedure, limitations of T-tube, likelihood of compromised airway besides the inherent problems of sharing the airway with surgeons. Total intravenous anaesthesia (TIVA) is a technique which has become very popular and possible now a days for various surgical procedures owing to its advantages. The anaesthetic technique should be based on the provider's experience and severity of tracheal stenosis. We present here the anaesthetic management using TIVA technique with propofol and atracurium for the insertion of Montgomery T-tube in a case of post intubation tracheal stenosis.