Post intubation tracheal stenosis remains the most common indication of tracheal resection and
reconstruction. It can cause respiratory symptoms that can often be misdiagnosed as obstructive lung
disease. Various treatment modalities are available. As ofce-based procedures have been common, awake or mildly sedated
endoscopic procedures with spontaneous ventilation are now being performed by exible bronchoscopy. We report a case
involving a 45-year-old male who presented with dyspnea and stridor from 15 days. Patient had past history of intubation and
icu stay one month back. After proper topicalization of upper airway of the patient, electric cauterization and balloon dilation
was performed by exible bronchoscope under conscious sedation and spontaneous ventilation. Conscious sedation was
achieved by graded doses of propofol and fentanyl. Post-operative period was uneventful, and patient didn’t describe any
discomfort. Improvement in symptoms were reported. Endoscopic procedures for tracheal pathology under conscious sedation
seems to be feasible and safe procedure.