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CASE REPORT
Year : 2022  |  Volume : 1  |  Issue : 1  |  Page : 30-32

Dexmedetomidine and emergency front of neck access for acute stridor in advanced laryngeal carcinoma: Anesthetic challenges


Department of Anesthesiology and Critical Care, ABVIMS and Dr. RML Hospital, New Delhi, India

Correspondence Address:
Dr. Amit Kumar
Department of Anesthesiology and Critical Care, ABVIMS and Dr. RML Hospital, New Delhi - 110 001
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jica.jica_9_22

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Supraglottic airway obstruction due to airway malignancy resulting in respiratory distress is a medical emergency requiring urgent re-establishment of airway patency, with tracheostomy to alleviate the stridor and threat to life. We report a 61-year-old male patient who presented with acute stridor, dyspnea, and a left-sided metastatic neck mass to the emergency room. The patient was rushed to the operation theater for emergency tracheostomy under monitored anesthesia care. We hereby discuss a successful surgical cricothyroidotomy, post failed emergency tracheostomy under dexmedetomidine infusion.


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