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Female with metastatic lung cancer without any treatment since 1 year, had developed severe viral ARDS-3 month back and required prolonged ventilatory support and tracheostomy She went home after complete recovery Suddenly in the middle of the night, she presented with severe respiratory distress with Type 2 respiratory failure. It was impossible to intubate. In a near arrest state, sub-sternal needle tracheotomy was attempted and a small number of ET tubes was inserted. On further evaluation, found severe subglottic stenosis. At this point, interventional pulmonary comes into picture. Tracheal dilation and tracheal stent placement gave fantastic results. Now , she is free from ventilatory and oxygen support.


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