Open Access
Thorac Cardiovasc Surg Rep 2016; 05(01): 1-3
DOI: 10.1055/s-0035-1556061
Case Report: Thoracic
Georg Thieme Verlag KG Stuttgart · New York

Airway Management via Laryngeal Mask in Laryngotracheal Resection

Patrick Zardo
1   Department of Cardiothoracic Surgery, Otto von Guericke University, Magdeburg, Germany
,
Tom Kreft
2   Department of Anesthesiology and Intensive Care, Otto von Guericke University Magdeburg, Germany
,
Thomas Hachenberg
2   Department of Anesthesiology and Intensive Care, Otto von Guericke University Magdeburg, Germany
› Author Affiliations
Further Information

Publication History

19 February 2015

07 May 2015

Publication Date:
24 November 2015 (online)

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Abstract

We present a case of impassable subglottic stenosis scheduled for tracheal resection and reconstruction managed by establishing a supraglottic airway. Despite careful preoperative evaluation, the stenosis was localized higher than anticipated, rendering conventional intubation impossible. Laryngeal mask bridging to cross-field ventilation was feasible and jet ventilation and cardiopulmonary bypass were available as emergency strategies. Surgery and emergence went uneventful. Perioperative considerations are discussed in this report.