Airway and Hemodynamic Considerations for the Anesthetic Management of an Intraluminal Tracheal Plasmacytoma

Central airway obstruction due to tracheal tumors presents unique challenges to the anesthesiologist. We present the case of a 44-year-old male taken to the OR for biopsy and resection of an undiagnosed tracheal mass. Intraoperative management was complicated by bleeding and significant hemodynamic instability, necessitating rapid surgical and anesthetic intervention. This ultimately led to abortion of surgical resection. Pathologic examination revealed a primary tracheal plasmacytoma, a rare type of tracheal tumor. Here, we describe anesthetic and hemodynamic considerations for a tracheal plasmacytoma. We discuss the approach to airway management in variable intrathoracic tracheal obstruction and the unpredictability of tracheal tumors.

Automated summary

The translation provides an in-depth understanding of a case report on a 44-year-old male with tracheal tumors who underwent surgery. The case was complicated by bleeding and hemodynamic instability during the operation, leading to the abortion of surgical resection. Pathologic examination revealed a rare type of tracheal tumor called primary tracheal plasmacytoma. The article discusses the anesthetic and hemodynamic considerations for this condition, as well as the unpredictability of tracheal tumors.