Anaesthesia for debulking of tracheal tumour

Abstract

Critical central airway obstruction is a life    threatening emergency. The trachea or the main bronchi can be obstructed due to stenosis or soft tissue tumors. Tumour debulking and tracheal stenting can be a challenging  procedure to the anaesthesiologists, as conventional methods of airway management might not be a possibility. In few     situations,,introducing an endotracheal tube may cause a partial airway obstruction to become a complete obstruction . The real challenge in such cases are maintenance of a patent and immobile surgical field while ensuring adequate           ventilation and gas exchange.We report a case of tracheal adenoid cystic tumour causing tracheal and right main    bronchus obstruction leaving only the left main bronchus for ventilation