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

doi:10.1177/10892532221140235

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

Anesthesiology

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	64-67
Number of pages	4
Journal	Seminars in Cardiothoracic and Vascular Anesthesia
Volume	27
Issue number	1
DOIs	https://doi.org/10.1177/10892532221140235
State	Published - Mar 2023

Keywords

airway obstruction
central airway obstruction
plasmacytoma
thoracic anesthesia
thoracic surgery
tracheal mass
tracheal neoplasm

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Anesthesiology and Pain Medicine

Access to Document

10.1177/10892532221140235

Cite this

@article{1d34b7268ba5420591c3b94438395912,

title = "Airway and Hemodynamic Considerations for the Anesthetic Management of an Intraluminal Tracheal Plasmacytoma",

abstract = "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.",

keywords = "airway obstruction, central airway obstruction, plasmacytoma, thoracic anesthesia, thoracic surgery, tracheal mass, tracheal neoplasm",

author = "Morabito, {Joseph E.} and Simmons, {Colby G.} and Giorgio Zanotti and Mitchell, {John D.} and Karsten Bartels and Wilkey, {Barbara J.}",

note = "Publisher Copyright: {\textcopyright} The Author(s) 2022.",

year = "2023",

month = mar,

doi = "10.1177/10892532221140235",

language = "English (US)",

volume = "27",

pages = "64--67",

journal = "Seminars in Cardiothoracic and Vascular Anesthesia",

issn = "1089-2532",

publisher = "SAGE Publications Inc.",

number = "1",

}

TY - JOUR

T1 - Airway and Hemodynamic Considerations for the Anesthetic Management of an Intraluminal Tracheal Plasmacytoma

AU - Morabito, Joseph E.

AU - Simmons, Colby G.

AU - Zanotti, Giorgio

AU - Mitchell, John D.

AU - Bartels, Karsten

AU - Wilkey, Barbara J.

N1 - Publisher Copyright: © The Author(s) 2022.

PY - 2023/3

Y1 - 2023/3

N2 - 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.

AB - 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.

KW - airway obstruction

KW - central airway obstruction

KW - plasmacytoma

KW - thoracic anesthesia

KW - thoracic surgery

KW - tracheal mass

KW - tracheal neoplasm

UR - http://www.scopus.com/inward/record.url?scp=85142721618&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85142721618&partnerID=8YFLogxK

U2 - 10.1177/10892532221140235

DO - 10.1177/10892532221140235

M3 - Article

C2 - 36418868

AN - SCOPUS:85142721618

SN - 1089-2532

VL - 27

SP - 64

EP - 67

JO - Seminars in Cardiothoracic and Vascular Anesthesia

JF - Seminars in Cardiothoracic and Vascular Anesthesia

IS - 1

ER -

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

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this