Anaesthesia for bougie dilatation of subglottic stenosis: report of two cases

Athira Raju; Sooraj Chambath; Biji Kannamadathy Poulose

doi:10.18203/2320-6012.ijrms20231657

Authors

Athira Raju Department of Anaesthesia, Government Medical College, Kozhikode, Kerala, India
Sooraj Chambath Department of Anaesthesia, Government Medical College, Kozhikode, Kerala, India
Biji Kannamadathy Poulose Department of Anaesthesia, Government Medical College, Kozhikode, Kerala, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20231657

Keywords:

Bougie, Dilatation, Mitomycin C, Subglottic stenosis

Abstract

Subglottic stenosis is a rare but life-threatening condition characterized by narrowing of subglottis. Airway dilatation (balloon/bougie) has become very effective for correction of stenosis. Anaesthesia management for bougie or balloon dilatation of subglottic stenosis needs proper planning, team work and efficient utilization of resources. Airway management options include apneic pause technique, supraglottic jet ventilation, THRIVE (transnasal humidified rapid insufflation ventilatory exchange) and cardiopulmonary bypass/extracorporeal membrane oxygenation in emergency scenario. Total intravenous anaesthesia along with airway anaesthesia remains the best anesthetic management option as it provides excellent conditions for shared airway surgery.

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Author Biography

Biji Kannamadathy Poulose, Department of Anaesthesia, Government Medical College, Kozhikode, Kerala, India

Professor ; Department of Anesthesiology,Government Medical College Kozhikode,Kerala,India

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