1987 Volume 7 Issue 1 Pages 89-92
The authors reported the anesthetic mangement of a 51-year-old male with Mounier-Kuhn syndrome. This was a rare syndrome consisting of marked dilatation of the trachea and major bronchi usually due to a congenital defect of the connective tissues of the tracheo-bronchial tree. Most of the clinical features include chronic cough productive of copious and pulurent sputum, low grade fever, and consistent with chronic respiratory tract infection.
The major anesthetic problems of this disease include a persistent peni-tubal leak, a potential occurence of the aspiration pneumonia, and the abnormal flaccidity and easy collapsability of the bronchial walls.
We managed this patient with the special tube which had low pressure, high volume cuff. It is concluded that the special attention must be given for the patient with this disease during the perioperative period.
