Airway and Hemodynamic Considerations for the Anesthetic Management of an Intraluminal Tracheal Plasmacytoma.

Joseph E Morabito, Colby G Simmons, Giorgio Zanotti, John D Mitchell, Karsten Bartels, Barbara J Wilkey

Seminars in cardiothoracic and vascular anesthesia 2023 Mar

filter terms:

Central airway obstruction due to tracheal tumors presents unique challenges to the anesthesiologist. We present the case of a 44-year-old male taken to the OR for biopsy and resection of an undiagnosed tracheal mass. Intraoperative management was complicated by bleeding and significant hemodynamic instability, necessitating rapid surgical and anesthetic intervention. This ultimately led to abortion of surgical resection. Pathologic examination revealed a primary tracheal plasmacytoma, a rare type of tracheal tumor. Here, we describe anesthetic and hemodynamic considerations for a tracheal plasmacytoma. We discuss the approach to airway management in variable intrathoracic tracheal obstruction and the unpredictability of tracheal tumors.

Citation

Joseph E Morabito, Colby G Simmons, Giorgio Zanotti, John D Mitchell, Karsten Bartels, Barbara J Wilkey. Airway and Hemodynamic Considerations for the Anesthetic Management of an Intraluminal Tracheal Plasmacytoma. Seminars in cardiothoracic and vascular anesthesia. 2023 Mar;27(1):64-67