{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T21:04:41Z","timestamp":1765487081533,"version":"3.40.4"},"reference-count":10,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,10,23]]},"abstract":"<jats:p>We describe a case of a very difficult intubation which was safely navigated through careful planning. Our patient presented initially with increasing hoarseness and shortness of breath over a 6-month period. This was investigated and the patient was found to have a large vocal cord mass and was referred for urgent microlaryngoscopy and vocal cord polypectomy. On the day of surgery the obstruction was noted and awake fiberoptic bronchoscopy was used with a remifentanil infusion. Given the mass was large and increased in size with expiration, the time frame to pass the tube was extremely short. We delivered a transtracheal injection of local anaesthesia. This approach allowed for safe passage of the endotracheal tube. In patients such as this it may be worth considering the use of a transtracheal injection in the first instance.<\/jats:p>","DOI":"10.1136\/bcr-2015-210905","type":"journal-article","created":{"date-parts":[[2024,5,18]],"date-time":"2024-05-18T01:47:52Z","timestamp":1715996872000},"page":"bcr2015210905","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Successful intubation of a difficult airway due to a large obstructive vocal cord polyp augmented by the delivery of a transtracheal injection of local anaesthetic"],"prefix":"10.1136","volume":"2015","author":[{"given":"Jayan","family":"George","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jishar Abdul","family":"Kader","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sivasundari","family":"Arumugam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Murphy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,12,1]]},"reference":[{"key":"2025042707460847000_2015.dec01_2.bcr2015210905.1","doi-asserted-by":"publisher","DOI":"10.2165\/00003495-200565130-00007"},{"key":"2025042707460847000_2015.dec01_2.bcr2015210905.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpa.2005.07.005"},{"key":"2025042707460847000_2015.dec01_2.bcr2015210905.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2006.04686.x"},{"key":"2025042707460847000_2015.dec01_2.bcr2015210905.4","doi-asserted-by":"publisher","DOI":"10.1093\/bjaceaccp\/mku015"},{"key":"2025042707460847000_2015.dec01_2.bcr2015210905.5","doi-asserted-by":"publisher","DOI":"10.9738\/INTSURG-D-14-00020.1"},{"key":"2025042707460847000_2015.dec01_2.bcr2015210905.6","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.37"},{"key":"2025042707460847000_2015.dec01_2.bcr2015210905.7","doi-asserted-by":"publisher","DOI":"10.1007\/s12630-013-9915-9"},{"key":"2025042707460847000_2015.dec01_2.bcr2015210905.8","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-6576.2002.460426.x"},{"key":"2025042707460847000_2015.dec01_2.bcr2015210905.9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2011.06938.x"},{"key":"2025042707460847000_2015.dec01_2.bcr2015210905.10","doi-asserted-by":"publisher","DOI":"10.1378\/chest.10-3361"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-210905","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T14:46:25Z","timestamp":1745765185000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-210905"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,1]]},"references-count":10,"alternative-id":["10.1136\/bcr-2015-210905"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-210905","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2015,12,1]]}}}