Case report on anaesthetic management of a patient with self embedding syndrome and difficult airway due to pins in and around trachea

Management of a “difficult airway” remains one of the most relevant and challenging tasks for anaesthesiologists. Although practice guidelines and algorithms may help in such situations, yet modifications are required according to the situations. In this case report the anaesthetic management of a patient with self-embedding syndrome having multiple pins inside his trachea and neck has been described. We present our method of successful management in this case and reiterate the role of different methods of correct positioning and intubation in such circumstances. The use of dexmedetomidine helped in achieving spontaneously breathing patient and fiberoptic bronchoscopy used for assessing the tracheal condition before tracheostomy. Keywords: Difficult airway, Awake fiberoptic.