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Management of congenital tracheal stenosis – using spontaneous ventilation to facilitate cardiopulmonary bypass


Dr Katherine Taylor FANZCA, Fellow in Pediatric Anesthesia, Hospital for Sick Children, Toronto, Canada. (email:


We present an unusual case of an infant with life-threatening tracheal stenosis scheduled for repair utilizing cardiopulmonary bypass. After repeated attempts at intubation endtidal CO2 was absent. The child was eventually managed with spontaneous breathing sevoflurane via a facemask. The possible causes of absent endtidal CO2 after intubation are discussed.

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