RT Book, Section
A1 Brown, Timothy F. E.
A1 Johnson, Liane B.
A2 Hung, Orlando R.
A2 Murphy, Michael F.
SR Print(0)
ID 1146617004
T1 Tracheotomy
T2 Hung's Difficult and Failed Airway Management, 3e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781259640544
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1146617004
RD 2024/04/23
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.