A retropharyngeal-mediastinal hematoma with supraglottic and tracheal obstruction: The role of multidisciplinary airway management

Objective: To date, no cases have been reported on the effects of COVID-19 in laryngectomees. Case Presentation: We herein presented two clinical cases of laryngectomized patients affected by COVID-19, detailing their clinical course and complications. Discussion: In our experience, permanent tracheostomy did not significantly affect the choice of treatment. However, dedicated devices and repeated tracheal toilettes may be needed to deal with oxygen-therapy-related tracheal crusting. Conclusion: In conclusion, laryngectomees should be considered a vulnerable population that may be at risk for worse outcomes of COVID-19 due to anatomical changes in their airways. The role of the ENT specialist is to guide airway management and inform the support-staff regarding specific needs of these patients.

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Role of upper airway ultrasound in airway management

Journal of Intensive Care ◽

10.1186/s40560-016-0174-z ◽

2016 ◽

Vol 4 (1) ◽

Cited By ~ 45

Author(s):

Adi Osman ◽

Kok Meng Sum

Keyword(s):

Airway Management ◽

Upper Airway ◽

Upper Airway Ultrasound ◽

Airway Ultrasound

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The emerging role of awake videolaryngoscopy in airway management

Anaesthesia ◽

10.1111/anae.14324 ◽

2018 ◽

Vol 73 (9) ◽

pp. 1058-1061 ◽

Cited By ~ 10

Author(s):

W. M. Wilson ◽

A. F. Smith

Keyword(s):

Airway Management

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The Role of Pulse Oximetry in the Initial Airway Management of Helicopter Transported, Trauma Victims

Prehospital and Disaster Medicine ◽

10.1017/s1049023x00039625 ◽

1992 ◽

Vol 7 (3) ◽

pp. 277-278

Author(s):

Ross S. Carol ◽

Francis P. Renzi

Keyword(s):

Airway Management ◽

Pulse Oximetry ◽

Clinical Signs ◽

Management Decision ◽

Trauma Patients ◽

Arterial Blood Gas ◽

Arterial Blood ◽

Prehospital Management ◽

A Prospective Study

AbstractIntroduction:Circumstances surrounding the prehospital management of trauma patients may mask clinical signs of inadequate oxygenation. Pulse oximetry (PO) may influence airway management prior to helicopter transport by helping to identify patients with occult hypoxemia.Methods:Patients were enrolled in a prospective study. Initially, the flight physician clinically decided how best to manage the patient's airway prior to helicopter transport. The patient's oxygenation saturation (O2at), was determined by PO. Then, the physician reassessed the initial airway management decision based on clinical assessment and knowledge of the O2Sat. All patients had an arterial blood gas (ABG) measurement taken after completion of transport.Results:Sixty patients were enrolled. Knowledge of the O2Sat, as determined by pulse oximetry, did not influence airway management. No patients with occult hypoxemia were identified.Conclusion:The use of PO in the initial evaluation of trauma patients prior to helicopter transport did not influence the flight physician's initial management of the airway.

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