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Tubeless Airway Strategy Using THRIVE And TCI For Subglottic Stenosis: Case Report

Year: 2025

Type: article

Abstract: Granulomatosis with polyangiitis (GPA) is a systemic vasculitis that can cause subglottic stenosis (SGS), posing significant challenges in airway management. We present a case of a 19-year-old male with GPA and Grade 2 SGS who underwent successful balloon dilatation under general anaesthesia using Transnasal Humidified Rapid Insufflation Ventilatory Exchange (THRIVE) and Target-Controlled Infusion (TCI) of Propofol. THRIVE enabled uninterrupted apnoeic oxygenation and improved surgical access, while TCI ensured stable anaesthetic depth. The procedure was completed uneventfully in 25 minutes with no desaturation. This case highlights THRIVE-TCI as an effective alternative in managing complex shared-airway surgeries.

Source: International Journal of Environmental Sciences

DOI: 10.64252/kgqpet60

Authors: Ramya Venkatesan, Balasubramaniam Chandran, Aruna Parameshwari, Arulmurugan Ramaswamy

Institution: Sri Ramachandra Institute of Higher Education and Research

Language: English

Topic: Airway Management and Intubation Techniques

Subfield: Anesthesiology and Pain Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4414023009

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