Chaudhary Rahul Kumar, Pokharel Anuja, Subba Sangeeta, Pyakurel Kumud, Sedhai Rojina, Rajbanshi Lalit Kumar, Khan Sajjad Ahmed
Department of Anesthesiology and Critical Care Birat Medical College Teaching Hospital Biratnagar Nepal.
Birat Medical College Teaching Hospital Biratnagar Nepal.
Clin Case Rep. 2025 Jun 4;13(6):e70539. doi: 10.1002/ccr3.70539. eCollection 2025 Jun.
Infiltrative tracheal malignancies are exceptionally rare among younger individuals, but when they do occur, they present a significant and immediate risk due to severe airway compromise. Managing the airway in such cases is extremely challenging in low-resource settings and requires a highly skilled team of anesthesiologists utilizing advanced techniques. This case report outlines the airway management of a patient with an infiltrative tracheal malignancy who experienced severe airway obstruction. In such situations, definitive airway control often necessitates an emergency tracheostomy. One effective approach includes performing emergency intubation with a small cuffed endotracheal tube, followed by a low tracheostomy, with the assistance of fiberoptic bronchoscopy to ensure safe airway management.
浸润性气管恶性肿瘤在年轻个体中极为罕见，但一旦发生，由于严重的气道受压，会带来重大且紧迫的风险。在资源匮乏的环境中，处理此类气道极具挑战性，需要一支技术精湛的麻醉医生团队运用先进技术。本病例报告概述了一名患有浸润性气管恶性肿瘤且出现严重气道阻塞患者的气道管理情况。在这种情况下，明确的气道控制通常需要紧急气管切开术。一种有效的方法包括使用带套囊的小儿气管内导管进行紧急插管，随后进行低位气管切开术，并借助纤维支气管镜确保气道管理安全。
