P056

Z. Yanga (Prof), J. Jiang*a (Prof)

a Department of Respiratory and Critical Care Medicine, Dushu Lake Hospital affiliated to Soochow University, Suzhou, CHINA

* jiang20001969@163.com

Background: The Montgomery T-tube tracheal stent(Montgomery T-tube) is often used to treat subglottic stenosis, and the general anesthesia carried out by an anesthesiologist and the rigid bronchoscopy performed by an endoscopist are required for the placement of Montgomery T-tube. However, this way is not suitable for all types of patients.

Case presentation: Here, we describe a patient with cervical spinal cord injury and incomplete paraplegia who was successfully implanted with Montgomery T-tube for subglottic stenosis after intravenous induction of conscious sedation combined with high-flow nasal cannula oxygen(NFHC) and expect to provide a reference for the treatment of these patients.

Conclusions: Intravenous induction of conscious sedation combined with NFNC could help with Montgomery T-tube Implantation and the treatment of patients in this particular situation. However, more data are needed to support the use of this anesthesia method.

Disclosure of funding source(s): none