TY - CHAP M1 - Book, Section TI - Tracheotomy A1 - Brown, Timothy F. E. A1 - Johnson, Liane B. A2 - Hung, Orlando R. A2 - Murphy, Michael F. Y1 - 2017 N1 - T2 - Hung's Difficult and Failed Airway Management, 3e AB - A 58-year-old male who completed radiation therapy for a large supraglottic tumor 4 months ago now presents to the Emergency Department in significant respiratory distress with biphasic stridor. He is somewhat agitated and prefers to remain in a semi-sitting position. He is cachectic, a heavy smoker but nondrinker. He is not taking any medications and has no allergies. His oxygen saturation is 88% on room air and improves to 94% with supplemental oxygen. He is cooperative enough to allow the otolaryngologist to perform a flexible nasopharyngoscopy at the bedside, which reveals extensive supraglottic edema, completely obscuring identification of normal laryngeal landmarks, and any visualization of the upper airway (see Figure 15–1). The otolaryngologist suspects there is recurrent tumor below this edema. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/20 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1146617004 ER -