Extensive supraglottic mass—An anesthetist’s nightmare
Supraglottic carcinoma presents significant challenges in airway management during general anesthesia. We report a case of a 26-year-old female with extensive supraglottic growth undergoing a biopsy. Awake fiber-optic intubation was performed due to the risk of airway obstruction and difficulty with...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Saudi Journal of Anaesthesia |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/sja.sja_466_24 |
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| _version_ | 1832087079517945856 |
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| author | K Chethan Hebbar Abhishek Nagarajappa M Chandramouli Anvi |
| author_facet | K Chethan Hebbar Abhishek Nagarajappa M Chandramouli Anvi |
| author_sort | K Chethan Hebbar |
| collection | DOAJ |
| description | Supraglottic carcinoma presents significant challenges in airway management during general anesthesia. We report a case of a 26-year-old female with extensive supraglottic growth undergoing a biopsy. Awake fiber-optic intubation was performed due to the risk of airway obstruction and difficulty with direct laryngoscopy. Upper airway anesthesia was achieved with nebulized lignocaine and the spray-as-you-go technique. Successful intubation was followed by an uneventful surgical procedure and a smooth recovery. This case highlights the efficacy and safety of awake fiber-optic intubation in managing difficult airways in patients with supraglottic tumors, minimizing complications and enhancing patient outcomes. |
| format | Article |
| id | doaj-art-01fd4017e0514558990015a78f6bf9c9 |
| institution | Kabale University |
| issn | 1658-354X 0975-3125 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj-art-01fd4017e0514558990015a78f6bf9c92025-02-06T07:24:16ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X0975-31252025-01-0119113113310.4103/sja.sja_466_24Extensive supraglottic mass—An anesthetist’s nightmareK Chethan HebbarAbhishek NagarajappaM ChandramouliAnviSupraglottic carcinoma presents significant challenges in airway management during general anesthesia. We report a case of a 26-year-old female with extensive supraglottic growth undergoing a biopsy. Awake fiber-optic intubation was performed due to the risk of airway obstruction and difficulty with direct laryngoscopy. Upper airway anesthesia was achieved with nebulized lignocaine and the spray-as-you-go technique. Successful intubation was followed by an uneventful surgical procedure and a smooth recovery. This case highlights the efficacy and safety of awake fiber-optic intubation in managing difficult airways in patients with supraglottic tumors, minimizing complications and enhancing patient outcomes.https://journals.lww.com/10.4103/sja.sja_466_24airway managementanesthesia complicationsawake fiber-optic intubationdifficult airwayendotracheal intubationfiber-optic laryngoscopygeneral anesthesiaspray-as-you-go (saygo) techniquesupraglottic carcinomasupraglottic tumor |
| spellingShingle | K Chethan Hebbar Abhishek Nagarajappa M Chandramouli Anvi Extensive supraglottic mass—An anesthetist’s nightmare Saudi Journal of Anaesthesia airway management anesthesia complications awake fiber-optic intubation difficult airway endotracheal intubation fiber-optic laryngoscopy general anesthesia spray-as-you-go (saygo) technique supraglottic carcinoma supraglottic tumor |
| title | Extensive supraglottic mass—An anesthetist’s nightmare |
| title_full | Extensive supraglottic mass—An anesthetist’s nightmare |
| title_fullStr | Extensive supraglottic mass—An anesthetist’s nightmare |
| title_full_unstemmed | Extensive supraglottic mass—An anesthetist’s nightmare |
| title_short | Extensive supraglottic mass—An anesthetist’s nightmare |
| title_sort | extensive supraglottic mass an anesthetist s nightmare |
| topic | airway management anesthesia complications awake fiber-optic intubation difficult airway endotracheal intubation fiber-optic laryngoscopy general anesthesia spray-as-you-go (saygo) technique supraglottic carcinoma supraglottic tumor |
| url | https://journals.lww.com/10.4103/sja.sja_466_24 |
| work_keys_str_mv | AT kchethanhebbar extensivesupraglotticmassananesthetistsnightmare AT abhisheknagarajappa extensivesupraglotticmassananesthetistsnightmare AT mchandramouli extensivesupraglotticmassananesthetistsnightmare AT anvi extensivesupraglotticmassananesthetistsnightmare |