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The Rigid Tube as an Alternative in Controlling the Problematic Airway
Published on: June 6, 2020
Clinical Approach to Central Airway Obstruction in Adult Patients: Perioperative Focus on Causes and Management
Eugene MingJin Gan1, Haoyuan Lim2, Carrie Kah-Lai Leong1
1Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Singapore.
Abstract:
Central airway obstruction (CAO) is a life-threatening condition associated with poor prognosis. Therapeutic bronchoscopy along with systemic therapies significantly improve survival and quality of life in patients with symptomatic benign and malignant CAO. Endoluminal therapies and tracheobronchial stenting may be used, and a multidisciplinary approach is essential for holistic management of CAO. Perioperative planning and evaluation, as well as attention to intraoperative and postoperative management are key to optimal outcomes. This review provides an overview of the etiology and clinical approach to CAO, perioperative considerations for endoluminal therapies and tracheobronchial stenting, perioperative evaluation and preparation for therapeutic bronchoscopy, and management of operative and postoperative challenges in CAO.
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