Single or multimodal anesthetic technique: A selection dilemma

A term parturient with postcricoid growth presented with dysphagia. Elective cesarean section (CS) under general anesthesia (GA), after performing tracheostomy under local anesthesia (LA), followed by direct laryngoscopy-guided biopsy of the tumor and Ryle's tube insertion, was planned at single sitting. Four hours after admission, she developed tachypnea, desaturation, and fetal distress and had to be taken for emergency CS under spinal. After delivery, tracheostomy was done under LA, followed by biopsy of the growth and feeding jejunostomy under GA. The reasons behind choosing multiple anesthesia techniques in an emergency setting and the dilemma faced while opting for anesthetic technique are discussed.