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1 results

  • A case of subglottic tumour presenting with type 2 respiratory failure

  • F M Egro, S Sharma, D Baldwin
  • Journal:
    The Journal of Laryngology & Otology / Volume 129 / Issue 9 / September 2015
    Published online by Cambridge University Press:
    28 August 2015, pp. 932-934
    Print publication:
    September 2015
  • Background:

    Although type 2 respiratory failure is a plausible late presentation for laryngeal tumours, very little published literature is available to support this theory.

    Methods:

    This paper describes the unusual presentation of a subglottic tumour with uncompensated type 2 respiratory failure.

    Results:

    The patient was initially managed with biphasic positive airway pressure as a bridging measure while awaiting intensive care treatment and to provide sufficient time to arrange a surgical tracheostomy.

    Conclusion:

    This case highlights the importance of clinical suspicion towards subglottic tumours in patients presenting with type 2 respiratory failure. The positive outcome indicates that biphasic positive airway pressure is a potential bridging therapy for upper airway obstruction and a safe and stable treatment option for patients in respiratory distress.