Airway management in vascular central airway obstruction: a literature review

2021 ◽  
Keyword(s):  
Literature Review ◽  
Airway Management ◽  
Airway Obstruction ◽  
Preoperative Planning ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Surgical Reconstruction ◽  
Central Airway Obstruction ◽  
Central Airway

Vascular central airway obstruction (CAO) is a rare cause of upper airway obstruction in adults. CAO occurs below the level where it is invisible in a laryngoscope. Doctors therefore should pay attention to the possibilities of vascular CAO when attempting to prevent and resolve catastrophic complications from upper airway obstruction such as cardiorespiratory collapse and hemoptysis, which requires a thoughtful preoperative planning of airway management before starting a surgical reconstruction.

Parapharyngeal cerebrospinal fluid collection: an unusual complication of temporal bone fracture

2010 ◽  
Vol 125 (3) ◽  
pp. 321-323
Author(s):  
C Kirton ◽  
A Guidera
Keyword(s):  
Cerebrospinal Fluid ◽  
Literature Review ◽  
Airway Obstruction ◽  
Temporal Bone ◽  
Bone Fracture ◽  
Fluid Collection ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Unusual Complication ◽  
Temporal Bone Fracture

AbstractObjective:We present an unusual case of parapharyngeal cerebrospinal fluid collection causing upper airway obstruction following a temporal bone fracture.Method:Case report and literature review of temporal bone fracture associated with parapharyngeal cerebrospinal fluid collection.Results:A 19-year-old man presented with cerebrospinal fluid otorrhoea and temporal bone fracture following a head injury. He was discharged after 48 hours of observation. The patient returned within 6 hours with sudden unilateral neck swelling and stridor after blowing his nose. Flexible nasendoscopy and computed tomography showed extrinsic compression of the pharynx, with partial upper airway obstruction. A literature review using Pubmed™ and Medline™ identified no previously reported cases of parapharyngeal cerebrospinal fluid collection associated with temporal bone fracture.Conclusion:This case illustrates a previously undescribed complication of temporal bone fracture. Raised intracranial pressure in the presence of a cerebrospinal fluid fistula may lead to airway obstruction, following temporal bone fracture.

scholarly journals Acute upper airway obstruction in rheumatoid arthritis: case report and literature review

2018 ◽  
Vol 27 (1) ◽  
pp. 37-41
Author(s):  
Iulia Szabo ◽  
◽  
Cristina Tiple ◽  
Magdalena Chirila ◽  
Simona Rednic ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Case Report ◽  
Literature Review ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Rheumatoid Arthritis Case

scholarly journals Central Airway Obstruction Due to Tracheal Glomus Tumor

2018 ◽  
Vol 07 (01) ◽  
pp. e43-e45 ◽  
Author(s):  
Greg Haro ◽  
Eric Seeley ◽  
David Jablons ◽  
Johannes Kratz
Keyword(s):  
Airway Obstruction ◽  
Preoperative Planning ◽  
Glomus Tumor ◽  
Clinical Course ◽  
Case Description ◽  
Severe Respiratory Distress ◽  
Glomus Tumors ◽  
Central Airway Obstruction ◽  
Mesenchymal Neoplasms ◽  
Central Airway

Background Tracheal glomus tumors are rare mesenchymal neoplasms that have the potential to cause malignant, central airway obstruction. They require a thoughtful approach to safely secure the airway and definitively resect the tumor. Case Description We report the clinical course of a 25-year-old man in severe respiratory distress secondary to tracheal glomus tumor and the subsequent surgical management. Conclusion Due to their hypervascular nature, greater familiarity with tracheal glomus tumors is needed to ensure appropriate preoperative planning and intervention.

scholarly journals Acute Upper-Airway Obstruction by a Lingual Thyroglossal Duct Cyst and Implications for Advanced Airway Management

2013 ◽  
Vol 59 (7) ◽  
pp. e98-e102 ◽  
Author(s):  
K. O. Zimmerman ◽  
S. R. Hupp ◽  
A. Bourguet-Vincent ◽  
E. A. Bressler ◽  
E. M. Raynor ◽  
...  
Keyword(s):  
Airway Management ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Thyroglossal Duct Cyst ◽  
Upper Airway Obstruction ◽  
Duct Cyst ◽  
Thyroglossal Duct ◽  
Advanced Airway

Corticosteroids in Airway Management

1983 ◽  
Vol 91 (6) ◽  
pp. 593-596 ◽  
Author(s):  
Donald B Hawkins ◽  
Dennis M Crockett ◽  
Tony K Shum
Keyword(s):  
Airway Management ◽  
Airway Obstruction ◽  
Intramuscular Injection ◽  
Upper Airway ◽  
Suppressive Effect ◽  
Upper Airway Obstruction ◽  
Blood Levels ◽  
High Concentration ◽  
Acute Airway Obstruction ◽  
Inflamed Tissue

Adrenal corticosteroids exert a strong suppressive influence on the basic inflammatory response that leads to tissue swelling. The corticosteroid effect is nonspecific. In upper airway obstruction caused by edema from infection, allergy, or trauma, corticosteroids will exert some degree of suppressive effect. The steroid effect is local and directly proportional to the concentration of steroids in the inflamed tissue. In upper airway obstruction steroids should be delivered to the inflamed tissue in high concentration with the least delay. Dexamethasone and methylprednisolone produce high blood levels within 15 to 30 minutes of intramuscular injection. Recommended initial doses for acute airway obstruction are dexamethasone, 1.0 to 1.5 mg/kg, or methylprednisolone, 5 to 7 mg/kg. The risk of harm from steroid therapy of 24 hours or less is negligible.

scholarly journals Malignant Extra Renal Rhabdoid Tumour Presenting as Central Airway Obstruction

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Karan Madan ◽  
Amanjit Bal ◽  
Ritesh Agarwal ◽  
Ashim Das
Keyword(s):  
Airway Obstruction ◽  
Bronchial Asthma ◽  
Histopathological Examination ◽  
Delayed Diagnosis ◽  
Upper Airway ◽  
Age Group ◽  
Rhabdoid Tumour ◽  
Central Airway Obstruction ◽  
Childhood Neoplasms ◽  
Central Airway

Rhabdoid tumours are one of the most aggressive childhood neoplasms associated with high mortality. The commonest age group affected is children less than five years of age. Rhabdoid tumour presenting as an endoluminal tracheal mass leading to central airway obstruction has not been previously reported. We describe the case of a 17-year-old male patient where malignant rhabdoid tumour masqueraded as bronchial asthma leading to a delayed diagnosis of upper airway obstruction by tracheal growth. Histopathological examination and immunohistochemistry confirmed the diagnosis of malignant rhabdoid tumour.

scholarly journals Transtracheal flow-regulated oxygen insufflation—a simple and safe method for prolonging safe apnoea time in difficult airway management: A report of two cases

2019 ◽  
Vol 47 (6) ◽  
pp. 553-560
Author(s):  
Sivan Wexler ◽  
Stavros N Prineas ◽  
Timothy A Suharto
Keyword(s):  
Airway Management ◽  
Airway Obstruction ◽  
Difficult Airway ◽  
Oxygen Delivery ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Difficult Airway Management ◽  
Airway Patency ◽  
Safe Method ◽  
Apnoeic Oxygenation

In the absence of upper airway patency, supraglottic methods of oxygen delivery become ineffective. We present two semi-elective difficult airway cases where oxygenation via the supraglottic route was deemed impractical due to upper airway obstruction. In order to facilitate safe airway management, apnoeic oxygenation was delivered via a narrow bore transtracheal cannula using a flow-regulated oxygen insufflator. The potential for safely prolonging apnoea time with this technique in both elective and emergency settings is discussed.

Endoscopic airway management of acute upper airway obstruction

2013 ◽  
Vol 271 (5) ◽  
pp. 1191-1197 ◽  
Author(s):  
N. Choudhury ◽  
V. Perkins ◽  
I. Amer ◽  
R. Bhagrath ◽  
K. Ghufoor
Keyword(s):  
Airway Management ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Upper Airway Obstruction
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