Using Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) on a Terminally Ill Patient with Carcinoma Pancreas for Placement of a Self-Expandable Metallic Stent in Common Bile Duct.

Abstract

Pancreatic cancer (PC) is a rare cancer site, ranked 14^th in incidence and 7^th in mortality in the world. In India, pancreas ranks 24^th with 10860 new cases (1.03%) and 18^th in mortality.¹ Because patients are increasingly referred to surgery with advanced ages and because pancreatic surgery is extremely complex, anaesthesiologists and surgeons play a crucial role in preoperative evaluations and diagnoses for surgical intervention. The anaesthetist plays a key role in perioperative management and can significantly influence patient outcome.² Pancreatic ductal adenocarcinoma can cause distal bile duct obstruction. Biliary self-expandable metal stents (SEMS) are widely used for bile duct drainage to prevent tissue ingrowth and can be easily exchanged