Anesthetic management of an adult patient with tracheobronchomalacia

General anesthesia was successfully performed in an 86-year-old woman with severe tracheobronchomalacia. Tracheobronchomalacia in adult is a very rare disease, characterized by weakness of the trachea and bronchi, causing luminal narrowing during expiration. The patient had laparoscopic cholecystectomy. We used propofol remifentanil and rocuronium for induction of anesthesia. For maintenance of anesthesia oxygen, air, propofol fentanyl and remifentanil were used. After the end of operation, we used sugammadex to reverse neuromuscular blockade by rocuronium. The patient showed spontaneous breathing and good awareness, and we extubated. The patient did well and was discharged from the hospital 3 days after the operation. In this case, no special care such as postoperative CPAP was necessary, but normally, general anesthesia for a patient with tracheobronchomalacia requires attention. We gave general anesthesia satisfactorily in a patient with tracheobronchomalacia.