A & A case reports
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This case report illustrates the importance of proper assessment, management, and creation of an emergent surgical airway. Assessment after the establishment of surgical airways should include confirmation of correct surgical site and appropriate location and depth of tracheostomy, tracheal tube, or catheter placement within the trachea. Supraglottic surgical airway access, as occurred in this case, can lead to laryngotracheal and esophageal injury. Early recognition and appropriate management of this complication can increase the likelihood of preservation of voice and airway function and minimize the extent of esophageal injury.
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In this report, we describe the case of a 7-year-old girl presenting to Queen Elizabeth Central Hospital, Blantyre, Malawi, with hypoxia and respiratory distress. Investigations demonstrated an endobronchial tumor, and she underwent a radical left-sided pneumonectomy. This case highlights the challenges of anesthesia in a resource-depleted setting.
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We report a case of succinylcholine-induced hyperkalemia in a patient with a mediastinal triton tumor, which is characterized by a rhabdomyosarcomatous differentiation. Caution should be taken with succinylcholine use in patients presenting with a rhabdomyosarcomatous tumor or with a tumor of unknown cell type when histopathological diagnosis is not available.