| CASE REPORT |
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| Year : 2022 | Volume
: 1
| Issue : 1 | Page : 30-32 |
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Dexmedetomidine and emergency front of neck access for acute stridor in advanced laryngeal carcinoma: Anesthetic challenges
Neelakshi Koul, Uma Hariharan, Amit Kumar, Nidhi Yadav, Vijay Kumar Nagpal
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
 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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