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- Title
TRACHEOTOMY AND ROLE OF LOW POSITIVE PRESSURE VENTILATION DURING PREOXYGENATION IN A PATIENT WITH LARGE LARYNGEAL NEUROENDOCRINE CARCINOMA.
- Authors
MILOŠEV, SANJA; DOLINAJ, VLADIMIR; RADOVANOVIĆ, DRAGANA; KLJAJIĆ, VLADIMIR; MARKOVIĆ, NATAŠA; JANJEVIĆ, DUŠANKA
- Abstract
Small cell neuroendocrine carcinoma of the larynx is a rare epithelial origin neuroendocrine carcinoma. Its endolaryngeal growth may lead to airway obstruction and consequently endanger patient life. Managing the airway in this case poses great challenge for the anesthesiologist. The aim of this case report is to present alternative airway management in case of the possible unsuccessful endotracheal intubation. Emergency tracheotomy in sedoanalgesia and local anesthesia is successfully performed in patient with large neuroendocrine carcinoma of the larynx. Midazolam and remifentanyl used for sedoanalgesia may lead to respiratory depression. Therefore, pressure support preoxygenation was performed in order to prevent hypoxia, which could occur during the period of apnea. In conclusion, this regimen of preoxygenation prior to tracheotomy in sedoanalgesia and local anesthesia could be an appropriate alternative to general anesthesia and endotracheal intubation, especially in case of large endoluminal tumor that almost completely obstructs the airway.
- Subjects
TRACHEOTOMY; AIRWAY (Anatomy); TRACHEAL surgery; DEXMEDETOMIDINE; MEDICAL care
- Publication
Acta Medica Croatica, 2018, Vol 72, p93
- ISSN
1330-0164
- Publication type
Article