Airway and Hemodynamic Considerations for the Anesthetic Management of an Intraluminal Tracheal Plasmacytoma.

Autor:	Morabito JE; Department of Anesthesiology, 12226University of Colorado School of Medicine, Aurora, CO, USA., Simmons CG; Department of Anesthesiology, 12225University of Colorado School of Medicine, Aurora, CO, USA., Zanotti G; Ascension Medical Group St. Vincent Indiana Heart Care, Division of Cardiothoracic Surgery, Indianapolis, IN., Mitchell JD; Department of Cardiothoracic Surgery, University of Colorado School of Medicine, Aurora, CO, USA., Bartels K; Department of Anesthesiology, 12284University of Nebraska Medical Center, Omaha, NE., Wilkey BJ; Department of Anesthesiology, 12226University of Colorado School of Medicine, Aurora, CO, USA.
Jazyk:	angličtina
Zdroj:	Seminars in cardiothoracic and vascular anesthesia [Semin Cardiothorac Vasc Anesth] 2023 Mar; Vol. 27 (1), pp. 64-67. Date of Electronic Publication: 2022 Nov 23.
DOI:	10.1177/10892532221140235
Abstrakt:	Central airway obstruction due to tracheal tumors presents unique challenges to the anesthesiologist. We present the case of a 44-year-old male taken to the OR for biopsy and resection of an undiagnosed tracheal mass. Intraoperative management was complicated by bleeding and significant hemodynamic instability, necessitating rapid surgical and anesthetic intervention. This ultimately led to abortion of surgical resection. Pathologic examination revealed a primary tracheal plasmacytoma, a rare type of tracheal tumor. Here, we describe anesthetic and hemodynamic considerations for a tracheal plasmacytoma. We discuss the approach to airway management in variable intrathoracic tracheal obstruction and the unpredictability of tracheal tumors.
Databáze:	MEDLINE
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