ISSN: 2155-6148
Humberto S Machado
Serviço de Anestesiologia, Centro Hospitalar do Porto, Largo Professor Abel Salazar,
4099-001 Porto
Portugal
Case Report
Emergent Surgical Airway Management in Bleeding Airway Tumor-Two Different Settings
Author(s): Diogo Sobreira Fernandes, Rita Loureiro, Carlos Mexêdo and Humberto S MachadoDiogo Sobreira Fernandes, Rita Loureiro, Carlos Mexêdo and Humberto S Machado
Expertise in surgical airway management is one of the key requirements in a difficult airway scenario. We describe two different surgical airway approaches in two similar scenarios of a bleeding airway. A 77-year-old man was proposed for an urgent femoral-popliteal bypass. During laryngoscopy, a friable vallecular tumor was recognized, resulting in a copious bleeding. After several unsuccessful attempts to establish a patent airway, a tracheostomy was performed in 10 minutes by a surgeon. A 43-year-old man with a known laryngeal epidermoid carcinoma, was admitted in the emergency room with an active bleeding airway, resulting in a ‘Can’t Intubate Can’t Oxygenate’ situation. A scalpel cricothyroidotomy was achieved in 45 seconds by an anaesthesiologist. In the presence of a difficult airway, the anesthesiologist must be prepared to establish an effective surgica.. View More»
DOI:
10.4172/2155-6148.1000615