Foreign Body Aspiration with Tracheal Stenosis

You are the anaesthetist on evening duty at your tertiary-level hospital. You receive a call from the emergency medicine physician who requests your assistance with the management of a 50-year-old man who experienced a choking episode while eating a sausage for lunch. The patient is thought to have aspirated a piece of the sausage and is somewhat distressed. The patient has a history of brittle asthma and chronic obstructive pulmonary disease with a 60 pack-year history of smoking. He has known tracheal stenosis for which he receives regular tracheal dilations. Medications Fluticasone 250 mcg via metered-dose inhaler (MDI) 2 puffs twice daily Salmeterol 50 mcg via metered-dose inhaler (MDI) 2 puffs twice daily Salbutamol 100 mcg via metered-dose inhaler (MDI) 2 puffs twice daily The emergency medicine physician would like to transfer the patient straight to theatre.