Management of an Upper Airway Obstruction Causing Respiratory Compromise

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Conference Proceeding - Restricted Access

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We present a case of a 48-year-old male with a PMH of hemorrhagic stroke and subsequent persistent motor weakness who presented with a cough and right upper lobe collapse seen on chest radiograph. An obstructing mass was suspected. The patient underwent a bronchoscopy and was managed under general anesthesia with placement of an endotracheal tube. The pulmonologist discovered a broncholith in the right upper lobe with surrounding granulation tissue and removed it peace-meal. The broncholith was sent for pathology. We discuss the differential diagnosis for upper airway obstruction and endotracheal masses, and the challenges they can present for anesthetic management.


American Society of Anesthesiology Annual Meeting, San Diego, CA, October 9-11, 2021