TY - JOUR
T1 - Malignant airway obstruction
T2 - Recognition and management
AU - Chen, Karen
AU - Varon, Joseph
AU - Wenker, Olivier C.
PY - 1998
Y1 - 1998
N2 - Malignant airway obstruction affects up to 80,000 patients annually, many of whom will present acutely to the emergency department (ED). This clinical entity should be sought in any patient presenting to the ED with increasing shortness of breath, recurrent chest infections, hemoptysis, and an inability to lie flat. Interventions suggested in malignant airway obstruction include: maintenance of spontaneous ventilation by avoiding respiratory depressing sedation, muscle relaxants or narcotics; changes in patient's position; avoidance of general anesthesia and positive pressure ventilation, if possible; placement of endotracheal tube beyond the level of obstruction; radiotherapy; corticosteroids; availability of helium-oxygen mixtures, cardiopulmonary bypass, or extracorporeal membrane oxygenation. If time allows, further diagnostic studies will be of assistance in assessing the best therapy before definitive intervention.
AB - Malignant airway obstruction affects up to 80,000 patients annually, many of whom will present acutely to the emergency department (ED). This clinical entity should be sought in any patient presenting to the ED with increasing shortness of breath, recurrent chest infections, hemoptysis, and an inability to lie flat. Interventions suggested in malignant airway obstruction include: maintenance of spontaneous ventilation by avoiding respiratory depressing sedation, muscle relaxants or narcotics; changes in patient's position; avoidance of general anesthesia and positive pressure ventilation, if possible; placement of endotracheal tube beyond the level of obstruction; radiotherapy; corticosteroids; availability of helium-oxygen mixtures, cardiopulmonary bypass, or extracorporeal membrane oxygenation. If time allows, further diagnostic studies will be of assistance in assessing the best therapy before definitive intervention.
KW - Airway obstruction
KW - Helium-oxygen
KW - Neoplasms
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U2 - 10.1016/S0736-4679(97)00245-X
DO - 10.1016/S0736-4679(97)00245-X
M3 - Article
C2 - 9472765
AN - SCOPUS:0031887105
SN - 0736-4679
VL - 16
SP - 83
EP - 92
JO - Journal of Emergency Medicine
JF - Journal of Emergency Medicine
IS - 1
ER -