Emergency Airway Management in the Setting of a Rapidly Expanding Neck Hematoma

Document Type

Conference Proceeding - Restricted Access

Publication Date



81-year-old male with a complex medical history including stroke, atrial fibrillation, and bilateral carotid artery stenosis (CAS) who presented for left trans carotid artery revascularization (TCAR). His intraoperative course was uneventful, and he was extubated. Later that night he developed acute, rapidly expanding neck swelling and stridor. He was taken emergently back to the OR where the left neck was opened immediately prior to intubation. Once the airway was secure, he underwent neck exploration for expanding hematoma. We intend to review carotid artery stenosis and revascularization options, potential complications, and discuss anesthetic implications for emergency airway management.


American Society of Anesthesiology Annual Meeting, San Diego, CA, October 8-12, 2021.