Acute Airway Obstruction from Megaoesophagus Secondary to Achalasia Evaluated with Flexible Bronchoscope

A 94-year-old female presented to the emergency department with acute expiratory stridor. In the absence of an otorhinolaryngologist, an urgent laryngoscopy was performed using a flexible bronchoscope by an anaesthesiologist in the emergency department leading to a change in management. Subsequent r...

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Main Author: Jun D. Parker
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2021/8815376
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author Jun D. Parker
author_facet Jun D. Parker
author_sort Jun D. Parker
collection DOAJ
description A 94-year-old female presented to the emergency department with acute expiratory stridor. In the absence of an otorhinolaryngologist, an urgent laryngoscopy was performed using a flexible bronchoscope by an anaesthesiologist in the emergency department leading to a change in management. Subsequent radiographs confirmed severe tracheal compression from megaoesophagus secondary to achalasia as the cause of acute airway obstruction. Use of flexible bronchoscope as a diagnostic tool by an anaesthesiologist to evaluate a patient presenting with signs of acute airway obstruction may lead to a safer and more careful airway management planning. Suggestions are also made regarding establishment of emergency surgical airways when conventional approaches fail.
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institution Kabale University
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spelling doaj-art-1dd6339320ef44529406ba0e15099af62025-02-03T01:20:31ZengWileyCase Reports in Anesthesiology2090-63822090-63902021-01-01202110.1155/2021/88153768815376Acute Airway Obstruction from Megaoesophagus Secondary to Achalasia Evaluated with Flexible BronchoscopeJun D. Parker0Department of Anaesthesia, Portland District Health, 141-151 Bentinck Street, Portland, Victoria 3305, AustraliaA 94-year-old female presented to the emergency department with acute expiratory stridor. In the absence of an otorhinolaryngologist, an urgent laryngoscopy was performed using a flexible bronchoscope by an anaesthesiologist in the emergency department leading to a change in management. Subsequent radiographs confirmed severe tracheal compression from megaoesophagus secondary to achalasia as the cause of acute airway obstruction. Use of flexible bronchoscope as a diagnostic tool by an anaesthesiologist to evaluate a patient presenting with signs of acute airway obstruction may lead to a safer and more careful airway management planning. Suggestions are also made regarding establishment of emergency surgical airways when conventional approaches fail.http://dx.doi.org/10.1155/2021/8815376
spellingShingle Jun D. Parker
Acute Airway Obstruction from Megaoesophagus Secondary to Achalasia Evaluated with Flexible Bronchoscope
Case Reports in Anesthesiology
title Acute Airway Obstruction from Megaoesophagus Secondary to Achalasia Evaluated with Flexible Bronchoscope
title_full Acute Airway Obstruction from Megaoesophagus Secondary to Achalasia Evaluated with Flexible Bronchoscope
title_fullStr Acute Airway Obstruction from Megaoesophagus Secondary to Achalasia Evaluated with Flexible Bronchoscope
title_full_unstemmed Acute Airway Obstruction from Megaoesophagus Secondary to Achalasia Evaluated with Flexible Bronchoscope
title_short Acute Airway Obstruction from Megaoesophagus Secondary to Achalasia Evaluated with Flexible Bronchoscope
title_sort acute airway obstruction from megaoesophagus secondary to achalasia evaluated with flexible bronchoscope
url http://dx.doi.org/10.1155/2021/8815376
work_keys_str_mv AT jundparker acuteairwayobstructionfrommegaoesophagussecondarytoachalasiaevaluatedwithflexiblebronchoscope