Evidence map›Paper›PMID 27082606›Full record

ArticleMedicine2016

Difficult Airway Due to an Undiagnosed Subglottic Tumor: A Case Report.

Kohji Uzawa, Joho Tokumine, Alan Kawarai Lefor, Toshiyuki Takagi, Kunitaro Watanabe, Tomoko Yorozu

Open access · goldAbstract readCase Reports
In one paragraph

Article in Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Kohji UzawaFrom the Department of Anesthesiology (KU, JT, KW, TY), Kyorin University School of Medicine, Sinkawa, Mitaka, Tokyo; Department of Surgery (AKL), Jichi Medical University, Yakushiji, Shimotsuke-shi, Tochigi-ken; and Department of Anesthesia (TT), Higashiyamato Hospital, Nangai, Higashiyamato, Tokyo, Japan.
Joho Tokumine
Alan Kawarai Lefor
Toshiyuki Takagi
Kunitaro Watanabe
Tomoko Yorozu
Tochigi Prefectural Police · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The "cannot ventilate, cannot intubate" scenario during anesthesia induction can be lethal. We present a patient with an undiagnosed subglottic tumor who developed the "cannot ventilate, cannot intubate" situation after induction of general anesthesia, due to the presence of an undiagnosed subglottic tumor. A 93-year-old woman was brought to the operating room for repair of a femoral neck fracture. Both ventilation and intubation could not be accomplished, and the patient was awakened without complications after trials of maintaining the airway. In order to reverse muscle relaxation, sugammadex was useful to allow resumption of spontaneous breathing. A difficult airway can be caused by an undiagnosed subglottic tumor. Subglottic tumors can be misdiagnosed as asthma, because the clinical presentation can be very similar. If cricothyrotomy had been performed based on airway management algorithms, the airway may not have been controlled with a possibly fatal outcome. Ultrasound examination of the trachea may be useful to diagnose obstructive lesions in the airway.

Indexed as

Aged, 80 and overAirway ManagementAirway ObstructionAnesthesia, GeneralFemaleFemoral Neck FracturesHumansIntubation, IntratrachealLaryngeal Neoplasms

Identifiers

PMID27082606
PMCPMC4839850
OpenAlexW2345434217

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.