The hidden pouch: Anesthetic challenges in tracheal diverticula management - A case report

• Type: Article in International Scientific Journal
• Date: 2024

Authors

Moreira, J (Author) Other; Lima, P (Author) Other; Pinto, S (Author) Other; Pereira, H (Author) FMUP; Santos, P (Author) Other

Journal

Title: Trends in Anaesthesia and Critical Care

Vol. 58

ISSN: 2210-8440

Publisher: Elsevier

Indexing

ISI Web of Knowledge - 0 Citations

Other information

Authenticus ID: P-017-FN8

DOI: 10.1016/j.tacc.2024.101495

Abstract (EN): Tracheal diverticula are uncommon anatomical anomalies characterized by air-filled outpouchings of the tracheal wall. While typically asymptomatic and incidentally discovered, tracheal diverticula can pose significant challenges in airway management during anesthesia. We present the case of a 58-year-old female scheduled for microsurgical resection of meningioma. Preoperative imaging revealed a sizable tracheal diverticulum on the posterior tracheal wall, measuring 65 by 26 mm. An awake fiberoptic intubation approach was regarded as the safest approach for airway management. Several anatomical anomalies were identified during flexible bronchoscopy, including tracheomalacia and vascular malformations. Despite these challenges, successful intubation and anesthesia management were achieved without complications. This case highlights the importance of thorough preoperative evaluation and careful planning in patients with tracheal diverticula, in order to prevent a crisis from difficult intubation, difficult ventilation or even rupture of the diverticulum.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 4