Anesthetic Management of Tracheal Tumor Resection and Reconstruction: A Case Report of Complex Airway Management
Year: 2026
Type: article
Study design: Case Report
Abstract: causing luminal narrowing at the level of D4 vertebra (Figs 2 and 3).Preoperatively, the patient received a course of antibiotics, steroids, IntroductIonTracheal surgeries are required in congenital anomalies, tracheomalacia, traumatic injuries, vascular anomalies, and tumors.Tracheal tumors are rare tumors of the upper respiratory system.Tumor resection followed by anastomosis is considered definitive treatment for both malignant as well as benign tumors. 1 There is no single airway strategy suitable for all tracheal surgeries.The choice of airway management is best determined by multifocal assessment, such as preoperative comorbidities, features of the mass, surgical plan, etc. 2 There are two major goals for the anesthesiologist: minimizing obstruction of the surgical field while maintaining oxygenation and ventilation of the patient.3 We report a successful management of a tracheal tumor with cross-field ventilation. case descrIptIonA 30-year-old female with no other comorbidities presented in the surgical outpatient department (OPD) with the chief complaint of cough and breathlessness, which increased on lying down and required intermittent O₂ support.She was diagnosed with a tracheal mass by computed tomography (CT) thorax.There was a 17 × 15 × 16 mm hypodense lesion in the tracheal lumen at D4 vertebral level, involving the posterior and left lateral wall.The lesion showed endoluminal growth (Fig. 1).The patient underwent bronchoscopic debulking.Biopsy report was suggestive of tracheal adenocarcinoma.After 6 weeks, the patient was posted for resection and anastomosis of the tracheal tumor mass.The patient was assessed in the preoperative room.Informed written consent was obtained.Routine blood investigations, including complete blood count, renal function test (RFT), liver function test (LFT), blood sugar, serology, coagulation profile, X-ray chest, electrocardiogram (ECG), and 2D ECHO, were within normal limits.Pulmonary function test (PFT) was suggestive of restrictive stage chronic obstructive pulmonary disease (COPD).Preoperative arterial blood gas (ABG) was within normal limits.CT thorax revealed the residual endoluminal lesion of 15 × 12 × 13 mm, 1-
Authors: Jenish Patel, Damini Makwana, Nita Gosai
Institution: Gujarat Cancer & Research Institute
Language: English
Subfield: Anesthesiology and Pain Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W7130818775