Emergency airway management of intratracheal tumor in a patient with respiratory distress

Garg, Rakesh; Saini, Shalini; Kumar, Vinod; Gupta, Nishkarsh

doi:10.4103/0970-9185.168258

Cited by 4 publications

(4 citation statements)

References 5 publications

(5 reference statements)

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“…In spite of infusions, intermittent boluses of propofol are needed as per surgical stimulus to maintain an immobile surgical field. [ 6 ] Muscle relaxants were administered if required to facilitate negotiation of bougie/RVB, for inadequate vocal cord relaxation, or if coughing, bucking events were encountered. The backup plan in an event of desaturation was bag and mask ventilation, or insertion of appropriate size RVB with controlled ventilation or manual jet ventilation.…”

Section: Discussionmentioning

confidence: 99%

“…Also, RVB is a useful backup in cases of lower tracheal stenosis, where tracheostomy is not possible. [ 6 ] A prospective study evaluating TIVA with SAV for rigid bronchoscopic-guided therapeutic procedures had reported severe hypoxemia in 15% of the patients. [ 7 ] We probably did not experience desaturation as humidified high flow oxygen was administered throughout the case.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Anaesthetic management of tracheal restenosis in operated cases of tracheal resection and anastomosis: A retrospective review

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Anaesthetic management of tracheal restenosis in operated cases of tracheal resection and anastomosis: A retrospective review

et al. 2018

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“…Owing to their location, these tumors have the potential to cause critical airway obstruction. 3 Patients will typically present with exertional dyspnea, cough, hemoptysis, wheeze or even asphyxia due to upper airway obstruction. Symptoms are influenced by the size of the tumor and its location.…”

Section: Discussionmentioning

confidence: 99%

“…There have been a few case reports and case series describing the different management strategies for patients suffering from these tumors. [1][2][3][4][5][6] Various approaches include the classical, such as tracheal resection and local surgical reconstruction and more conservative endoscopic techniques, using a rigid bronchoscope and diverse procedures for bronchoscopic resection such as via forceps, snare excision, cryotherapy, electrocautery, and YAGlaser. [5][6][7] It has been suggested that broad-based tumors should be treated with tracheal resection, as it appears that there is an increased risk of tumor tissue being left behind when endoscopic techniques are employed in such cases, possibly leading to tumor recurrence.…”

Section: Discussionmentioning

confidence: 99%

Leiomyoma of the Trachea: A Rare Tracheal Tumor

Ahmed,

Hussain Soomro,

Iftekhar

et al. 2023

J Islamabad Med Dental Coll

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This is a case of a rare tracheal tumor, in a 45year old male farmer who presented with recurrent dyspnea for four years, initially misdiagnosed as asthma. The patient experienced worsening symptoms, including cough, hemoptysis, weight loss, and respiratory failure. Imaging and bronchoscopy revealed a tracheal mass, later identified as leiomyoma. The patient underwent tumor resection via rigid bronchoscopy, resulting in successful removal and tracheal recanalization. Postoperatively, the patient showed improvement, and follow-up examinations confirmed resolution of symptoms and absence of tumors, such as leiomyoma, are rare, often causing airway obstructions. Treatment approaches vary, including surgical resection and endoscopic techniques. In the case of wide-based tumors, surgical intervention is recommended to reduce recurrence risks. Anesthesia management is crucial due to potential airway compromise during the procedure. Although recurrence rates for leiomyoma are unknown, incomplete bronchoscopic resection has been associated with reoccurrence, necessitating surgery and carinal reconstruction.

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The acupoint herbal plaster for the prevention and treatment of postoperative nausea and vomiting after PLIF with general anesthesia: study protocol for a multicenter randomized controlled trial

Wei

Zhang

et al. 2021

Trials

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Background Postoperative nausea and vomiting (PONV) are common in posterior lumbar intervertebral fusion (PLIF) patients undergoing general anesthesia. The previous clinical observation has shown that a traditional acupoint herbal plaster (AHP) is beneficial to patients with PONV. This trial aims to assess the effect of the AHP for the prevention and treatment of PONV after PLIF in patients with general anesthesia. Methods A multicenter, parallel, randomized controlled trial (RCT) will be conducted. A total of 166 participants will be randomized to either a treatment group receiving an AHP or a control groups receiving an acupoint placebo plaster (APP) in a 1:1 ratio. The primary outcomes are the first occurrence and frequency of nausea and vomiting. The secondary outcomes include the severity grading of nausea and vomiting using a visual analog scale (VAS) measurement system, quality of life, and serological indicators. The safety evaluation is mainly about adverse events and skin reactions’ observation. Assessments will be carried out at the baseline, day 1, and day 2 (the end of the intervention). The central randomization system in the clinical trial (http://124.205.181.142:8082/xwtf/) will be used to conduct random allocation. Discussion This scientific methodology design of the trial is expected to provide clinical evidence to support the AHP for the prevention and treatment of PONV. Trial registration This study is retrospectively registered with the Chinese Clinical Trial Registry (http://www.chictr.org.cn) on 19 April 2018. ID: ChiCTR1800015768.

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Emergency airway management of intratracheal tumor in a patient with respiratory distress

Cited by 4 publications

References 5 publications

Anaesthetic management of tracheal restenosis in operated cases of tracheal resection and anastomosis: A retrospective review

Anaesthetic management of tracheal restenosis in operated cases of tracheal resection and anastomosis: A retrospective review

Leiomyoma of the Trachea: A Rare Tracheal Tumor

The acupoint herbal plaster for the prevention and treatment of postoperative nausea and vomiting after PLIF with general anesthesia: study protocol for a multicenter randomized controlled trial

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