Abstract
A 71-yr-old man with gastric cancer was admitted for gastrectomy. The patient also suffered from pemphygoid for three years. General anesthesia under tracheal intubation was performed with great caution not to hurt tracheal membrane by the inflated cuff of tracheal tube, considering the possibility of existing bullous membrane.
When tracheal intubation is needed for patients with pemphygoid, we propose the use of tracheal tube with high volume-low pressure cuff to avoid inadvertent rise in intra-cuff pressure.
