DOI: 10.36347/sjmcr.2013.v01i02.004

Pages: 32-37

Anaesthetic management becomes difficult and challenging in a variety of conditions and syndromes associated with difficult airway. But in some cases like diseases involving trachea, trauma, tumour involving trachea, there will be a difficulty even during induction and intubation. These cases are very much challenging for the anaesthetist to maintain airway and ventilation. A 38 year old female, a case of tracheal stenosis was posted for tracheal reconstruction. She had a history of twenty days of mechanical ventilation for neurotoxic snake bite. She was admitted with stridor and was in tubated with a smaller size Endotracheal tube (size 5 uncuffed) in the emergency room. Now the patient was posted for tracheal reconstruction. The anaesthetic management during tracheal reconstruction for this patient is discussed here.