Abstract
ABSTRACT
Large airway stenosis is common in patients with Wegener’s granulomatosis. We used high
frequency jet ventilation for management of anesthesia during rigid bronchoscopy for dilation of
left main bronchus in a patient with Wegener’s granulomatosis. (Rawal Med J 2007;32:201-203).
Keywords: Wegener’s granulomatosis, anesthetic management, high frequency jet ventilation.
INTRODUCTION
There are many causes of stenosis of large airways which may generate a life-threatening
situation. Wegener’s granulomatosis is a disease of unknown characterized by granulomatous
vasculitis of the upper and lower respiratory tract and other organs.1,2 Patients most frequently
require intensive care treatment for severe pneumonitis, glomerulonephritis, stroke, myocardial
infarction, multiorgan system dysfunction and infection due to immunosuppression and anatomic
abnormalities secondary to the granulomatous inflammation.3-5
Most patients (85-90%) present
with symptoms referable to the upper respiratory tract including sinusitis and nasal septal
deformity.6
Laryngeal involvement may result in severe narrowing of the upper respiratory tract.7
Lower respiratory tract disease is found in almost all patients after evaluation.8
1
We present a case with bronchial stenosis where we used high frequency jet ventilation (HFJV)
for anesthesia management.
