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Case Reports in Veterinary Medicine
Volume 2013, Article ID 234598, 5 pages
http://dx.doi.org/10.1155/2013/234598
Case Report

Anesthetic and Airways Management of a Dog with Severe Tracheal Collapse during Intraluminal Stent Placement

1Anesthesiology and Pain Therapy Division, Department of Veterinary Clinical Science, Vetsuisse Faculty, University of Berne, Switzerland
2Radiology Division, Department of Veterinary Clinical Science, Vetsuisse Faculty, University of Berne, Switzerland
3Surgery Division, Department of Veterinary Clinical Science, Vetsuisse Faculty, University of Berne, Switzerland

Received 23 October 2013; Accepted 8 December 2013

Academic Editors: K. K. Adamama-Moraitou and J. S. Munday

Copyright © 2013 M. Argano et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This case report describes the anesthetic and airways management of a dog affected by 4th degree tracheal collapse and undergoing endoscope-guided intraluminal stent placement. After premedication with acepromazine and butorphanol, general anesthesia was induced with propofol and maintained with intravenous propofol and butorphanol in constant rate infusion. During intraluminal stent placement, oxygen was supplemented by means of a simple and inexpensive handmade device, namely, a ureteral catheter inserted into the trachea and connected to an oxygen source, which allowed for the maintenance of airways’ patency and adequate patient’s oxygenation, without decreasing visibility in the surgical field or interfering with the procedure. The use of the technique described in the present paper was the main determinant of the successful anesthetic management and may be proposed for similar critical cases in which surgical manipulation of the tracheal lumen, which may potentially result in hypoxia by compromising airways patency, is required.