Navigating Challenges During Airway Management and Anesthetic Considerations in a Patient with a Supraglottic Mass: Integrating Anesthesiologists and Otolaryngologist Expertise
Najah Arafat Albayedh1*, Muzan Abdelbagi1, Yasser Samir Elmehellawy2, Ragai Abdelbasset Gemi3, Omar Majed Abdul Baki2
1Department of Anesthesia and Critical Care medicine, Al-Qassimi hospital, Emirates Health Services (EHS), Sharjah, United Arab Emirates
2Department of Anesthesia, Al-Qassimi hospital, Emirates Health Services (EHS), Sharjah, United Arab Emirates
3Department of Ear, Nose, and Throat (ENT), Al-Qassimi hospital, Emirates Health Services (EHS), Sharjah, United Arab Emirates. Professor of ENT, Cairo University, Cairo, Egypt
Introduction: Managing patients undergoing head and neck surgeries necessitates meticulous evaluation, strategic planning, and collaborative efforts with surgical teams. This approach is crucial to mitigate perioperative complications and optimize patient safety.
Rationale: Expert navigation of the challenging airway in these patients, particularly in the perioperative period, is essential to significantly reduce the risks of morbidity and mortality associated with such complex conditions.
Patient Concerns and Diagnosis: The patient presented with a supraglottic mass extending into the epiglottis space, posing significant anesthetic challenges to airway management.
Outcomes: A surgical airway was established via tracheostomy. Postoperatively, the patient was monitored in the intensive care unit for further management and was subsequently discharged to commence chemoradiotherapy. The tracheostomy tube remained in place at the time of discharge.
Lessons: This case underscored our commitment to enhancing expertise in airway management for patients with oral cancer. Our experience contributes valuable insights to the evolving field of airway management in complex head and neck surgeries.
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1Antoni van Leeuwenhoek, Netherlands Cancer Institute, Amsterdam, the Netherlands
2University Medical Center, Utrecht, the Netherlands
3University of Amsterdam, Amsterdam, the Netherlands
4O2PZ, Platform of Palliative Care, Amsterdam, the Netherlands
5Red Cross Hospital, Department of Anesthesiology, Beverwijk, the Netherlands
6Meander Medisch Centrum, Department of Medical Oncology, Amersfoort, the Netherlands
7Netherlands Comprehensive Cancer Organization, Utrecht, the Netherlands