Emergency airway management of intratracheal mass in a patient with stridor: A case report

Management of tracheal masses poses significant challenges, especially in patients with difficult airways. We report a case of a 70-year-old male with a large tracheal mass and limited neck extension who underwent successful awake tracheostomy with dexmedetomidine nebulization and resection of the mass under general anesthesia care. This case highlights the importance of careful preoperative planning and the use of awake techniques, including dexmedetomidine nebulization, in managing complex airway scenarios. We present a case where an awake tracheostomy was successfully performed to secure the airway before resecting a large tracheal mass in a patient with limited neck mobility.

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Publication Details

Journal
JCA advances.
Published
2026-01-07
DOI
https://doi.org/10.1016/j.jcadva.2025.100192
Primary Topic
Tracheal and airway disorders
Type
article
Field-Weighted Citation Impact
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article

Emergency airway management of intratracheal mass in a patient with stridor: A case report

Upendra Hansda, Divya Madhala, P.P. Jasmin, Sangeeta Sahoo et al.
JCA advances.
Tracheal and airway disorders
article

Emergency airway management of intratracheal mass in a patient with stridor: A case report

Upendra Hansda, Divya Madhala, P.P. Jasmin, Sangeeta Sahoo, Chitta Ranjan Mohanty
article en

Abstract

Management of tracheal masses poses significant challenges, especially in patients with difficult airways. We report a case of a 70-year-old male with a large tracheal mass and limited neck extension who underwent successful awake tracheostomy with dexmedetomidine nebulization and resection of the mass under general anesthesia care. This case highlights the importance of careful preoperative planning and the use of awake techniques, including dexmedetomidine nebulization, in managing complex airway scenarios. We present a case where an awake tracheostomy was successfully performed to secure the airway before resecting a large tracheal mass in a patient with limited neck mobility.

JCA advances.Vol. 3(1)
All India Institute of Medical Sciences Bhubaneswar (IN)
Sustainable cities and communities
Openalex Percentile: Top 97%
Tracheal and airway disorders
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