Tracheal Stent Buckling and In-stent Stenosis: A Proposed Airway Management Algorithm for Airway Obstruction for Patients With Tracheal Stents.

2022-08

Weinberg, Laurence

Graham, Jonathan M

Meyerov, Joshua

Moshinsky, James Adam

Aitken, Sarah Aishah Azlina

Spanger, Manfred

Knight, Simon R

airway obstruction

bronchoscopy

crisis management

surgery

thoracic

tracheobronchial stents

Journal Article

0000-0001-7403-7680

0000-0002-3227-5928

0000-0002-1676-6997

0000-0003-4837-9446

10.1053/j.jvca.2022.01.028

EMERGENCY AIRWAY management strategies for patients with complications due to tracheobronchial stents are of growing interest to anesthesiologists. Although tracheal stenting increasingly is used to manage tracheobronchial stenosis of both benign and malignant conditions,1-3 official guidelines for the perioperative airway management of patients with tracheobronchial stents in situ are lacking.3 Here, the authors discuss the management of airway obstruction from a tracheal stent strut protrusion and in-stent stenosis in a patient with a self-expanding nitinol tracheal stent in situ. They discuss the airway management strategy employed and outline a pragmatic airway management algorithm for patients with tracheal stents presenting with airway obstruction.

link

Journal of Cardiothoracic and Vascular Anesthesia 2022; 36(8 Pt B): 3139-3146

Journal of cardiothoracic and vascular anesthesia