Indian Journal of Critical Care Medicine

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 11 , ISSUE 1 ( January, 2007 ) > List of Articles


Airway emergencies in cancer

Keywords : Airway obstruction, airway stenting, laryngeal papillomatosis, mediastinal mass, rigid bronchoscopy

Citation Information : Airway emergencies in cancer. Indian J Crit Care Med 2007; 11 (1):36-44.

DOI: 10.4103/0972-5229.32435

License: CC BY-ND 3.0

Published Online: 01-01-2011

Copyright Statement:  Copyright © 2007; The Author(s).


Management of airway obstruction is always challenging but more so in cancer setting, as obstruction can lie at any level right from pyriform fossa to low down in medistinum. Morbidity is significant but if not managed properly leads to frightful death by suffocation. These cases need to be evaluated, diagnosed and managed with care, skill, speed and appropriate intervention. With the advent of technology, it has become much easier to manage such situations with a team of specialists involving anesthetist, thoracic surgeon and intensivist.

PDF Share
  1. Verbal autopsy of 48 000 adult deaths attributable to medical causes in Chennai (formerly Madras), India. BMC Public Health 2002;2:7.
  2. Upper airway obstruction in a woman with AIDS-related laryngeal Kaposi′s sarcoma. Chest 1996;109:836-7.
  3. Obstrucing tracheal lipoma: Management of a rare tumor. Ann Thorac Surg 1990;49:137-9.
  4. Life threatening airway obstruction at the presentation of Hodgkin′s disease. Cancer 1991;67:506-10.
  5. The use of helium in the treatment of asthma and obstructive lesions in the larynx and trachea. Ann Intern Med 1935;9:739-65.
  6. Evaluation of risk factors for stomal recurrence after total laryngectomy. Clin Otolaryngol Allied Sci 1996;21:135-8.
  7. Is emergency laryngectomy a waste of time? Am J Otolaryngol 1993;14:21-3.
  8. A technique of airway management in children with obstructed airway due to tumor. Ann Thorac Surg 1989;48:301-2.
  9. Therapeutic rigid bronchoscopy allows level of care changes in patients with acute respiratory failure from central airways obstruction. Chest 1997;112:202-6.
  10. Helium oxygen gas therapy: Use and availability for the emergency treatment of inoperable airway obstruction. Chest 1986;90:455-7.
  11. Major airway obstruction relieved by helium/oxygen breathing. Crit Care Med 1986;14:986-7.
  12. Relief of imminent respiratory failure from upper airway obstruction by use of helium-oxygen a case series and brief review. Acad Emerg Med 1999;6:953-6.
  13. Use of helium-oxygen mixtures to relieve upper airway obstruction in a pediatric population. Laryngoscope 2001;111:1512-4.
  14. Combined chemotherapy and tracheobronchial stenting for life-threatening airway obstruction in a child with endobronchial non-Hodgkin lymphoma. Paediatr Hematol Oncol 2004;21:725-9.
  15. Variable problems in lymphomas: CASE 1. Burkitt′s lymphoma presenting with central airway obstruction. J Clin Oncol 2005;23:8112-3.
  16. Severe acute extrinsic airway compression by mediastinal tumor successfully managed with extracorporeal membrane oxygenation. ASAIO J 1998;44:219-21.
  17. Hsu, Constance PL. Multi-modality management of acute airway obstruction due to extrinsic compression by mediastinal masses. Chest 2004;126:821S.
  18. The heat is on impact of endobronchial electrosurgery on the need for Nd-YAG laser photoresection. Chest 2000;118:516-21.
  19. Fibreoptic bronchoscopic electrosurgery under local anaesthesia for rapid palliation in patients with central airway malignancies: A preliminary report. Thorax 1994; 49:1243-6.
  20. Bronchoscopic diathermy resection and stent insertion: A cost effective treatment for tracheobronchial obstruction. Thorax 1993;48:1156-9.
  21. Nd-YAG laser vs bronchoscopic electrocautery for palliation of symptomatic airway obstruction: A cost-effectiveness study. Chest 1999;116:1108-12.
  22. Treatment of tracheobronchial lesions by laser photoresection. Chest 1982;81:278-84.
  23. Endoscopic treatment of malignant airway obstructions in 2,008 patients. Chest 1996;110:1536-42.
  24. Laser debulking in malignant upper airway obstruction. Head Neck 2005;27:296-301.
  25. Carbon dioxide laser debulking for obstructing endolaryngeal carcinoma: A 10-year experience. Ann Otol Rhinol Laryngol 1999;108:490-4.
  26. High dose rate endobronchial brachytherapy effectively palliates symptoms due to inoperable lung cancer. Jpn J Clin Oncol 2002;32:443-8.
  27. Prolonged survival after high-dose rate endobronchial radiation for malignant airway obstruction. Chest 1994;105:767-72.
  28. High dose-rate endobronchial irradiation in malignant airway obstruction. Chest 1993;104:721-5.
  29. Use of expandable wire stents for malignant airway obstruction. Ann Thorac Surg 1994;57:1573-8.
  30. Tracheobronchial stenting in the terminal care of cancer patients with central airways obstruction - clinical investigations. Chest 2001;120:1811-4
  31. Long term follow with two types of silicon prostheses. J Thorac Cardiovasc Surg 1996;112:859-66.
  32. Bronchoscopic management of central airway obstruction. J Thorac Cardiovasc Surg 2000;119:289-96.
  33. Development of tracheal surgery: A historical review. Part 1: Techniques of tracheal surgery. Ann Thorac Surg 2003;75:610-9.
  34. Development of tracheal surgery: A historical review. Part 2: Treatment of tracheal diseases. Ann Thorac Surg 2003;75:1039-47.
  35. Malignant airway obstruction: Recognition and management. J Emerg Med 1998;16:83-92.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.