Abstract: Anaesthetic Management Becomes Difficult And Challenging In Variety Of Conditions And Syndromes Associated With Difficult Airway. But In Some Cases Like Diseases, Trauma And Tumor Involving Trachea, There Will Be A Difficulty Even In Induction And Intubation. These Cases Are Very Much Challenging For The Anaesthetist To Maintain Airway And Ventilation.

35 Yrs Old Male, A Case Of Tracheal Stenosis Posted For Tracheal Reconstruction. He Had A History Of 7 Days Of Mechanical Ventilation Through Endotracheal Tube And 8 Days Through Tracheostomy Tube ForOrganoPhosporous Poisoning. After 3 Months,He Was Admitted With Complaints Of Difficulty In Breathing And Difficulty In Phonation. He Was Diagnosed To Have A Subgllotic Stenosis Due To Long Term Mechanical Ventilation. The Case Has Been Posted For Tracheal Reconstruction. The Patient Induced With Tracheostomy Tube. The Problems Of Induction, Intraoperative Changing Of The Endotracheal Tube And Anaesthetic Managements Of Tracheal Reconstruction Was Challenging For Us. The Causes And Prevention Of Tracheal Stenosis Were Discussed.

METHODS : 35 yrs old male, a case of tracheal stenosis posted for tracheal reconstruction. He had a history of 7 days of mechanical ventilation through endotracheal tube and 8 days through tracheostomy tube forOrganophosporous poisoning. After 3 months,he was admitted with complaints of difficulty in breathing and difficulty in phonation. He was diagnosed to have a subgllotic stenosis due to long term mechanical ventilation. The case has been posted for tracheal reconstruction. The patient induced with tracheostomy tube.

RESULTS : The problems of induction, intraoperative changing of the endotracheal tube and anaesthetic managements of tracheal reconstruction was challenging for us.

CONCLUSIONS : The problems of induction, intraoperative changing of the endotracheal tube and anaesthetic managements of tracheal reconstruction was challenging for us. The causes and prevention of tracheal stenosis were discussed.