[Respiratory management after closure of a bronchial-fistula with an omental pedicled gastric flap].

: A 56-year-old female, after closure of a bronchial-fistula with an omental pedicle gastric flap, underwent controlled ventilation for two weeks in order to stabilize the flap. We suspended the administration of vecuronium once a day and examined the plasma concentration of vecuronium when a twitch response appeared. During the two weeks of ventilation, plasma concentration of vecuronium was maintained at low doses by adjusting the daily dose of vecuronium infusion. However, the suspended period of vecuronium infusion was prolonged gradually and the patient care such as tracheal suction and position changing became restricted. In addition, we have to care for the infection and a mental injury.