A novel nasal PAP mask assembly maintained spontaneous ventilation and improved oxygenation in an obese patient with OSA, difficult airway, asthma and tracheal stenosis under MAC during ambulatory OGD

Author(s):  
James Tse
2020 ◽  
Vol 48 (4) ◽  
pp. 030006052091126
Author(s):  
Ji-A Song ◽  
Hong-Beom Bae ◽  
Jeong-Il Choi ◽  
Jeonghyeon Kang ◽  
Seongtae Jeong

In the operating room, unanticipated difficult intubation can occur and anesthesiologists can experience challenging situations. Undiagnosed tracheal stenosis caused by congenital factors, trauma, tumors, or post-intubation injury, can make advancing the endotracheal tube difficult. We present an adult patient in whom we were unable to pass an endotracheal tube into the trachea. This was caused by undiagnosed congenital mid-tracheal stenosis with complete tracheal rings. When faced with an unanticipated difficult airway, the anesthesiologist needs to comprehend the results of preoperative evaluations. If an unusual situation (e.g., congenital tracheal stenosis) occurs, active cooperation with other departments should be considered.


1997 ◽  
Vol 20 (3) ◽  
pp. 343
Author(s):  
Hyang Won Park ◽  
Chi Hyo Kim ◽  
Jong Hak Kim ◽  
Choon Hi Lee

Author(s):  
Paul Zarogoulidis ◽  
Kosmas Tsakiridis ◽  
Karanikas ◽  
Kontakiotis ◽  
Kostastantinos Porpodis ◽  
...  

2020 ◽  
Vol 30 ◽  
pp. e145
Author(s):  
Mauricio Luiz Malito ◽  
Marcelo Messias Miranda ◽  
Daniel Perin ◽  
Mauricio Amaral Neto ◽  
Marcelo Sperandio Ramos

2019 ◽  
Vol 12 (8) ◽  
pp. e230392
Author(s):  
Gillian Gray ◽  
Mark Adams ◽  
Myles Black ◽  
Pushpinder Sidhu

We present the complex and rare case of an inhaled stoma button causing proximal tracheal stenosis in a laryngectomy patient. The patient was unaware he had inhaled his button and presented with increasing shortness of breath and noisy breathing. In this case we discuss the challenging management of the stenotic tracheal segment above the impacted stoma button and the surgical approach to this difficult airway. The distal foreign body was safely removed using rigid bronchoscopy and balloon dilatation. This difficult airway required multidisciplinary input from the ENT, cardiothoracic and anaesthetic teams.


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