Abstract
SummaryWe describe the case of a 56‐year‐old male presenting with intermittent airway obstruction due to a massive base of tongue tumour and the challenges the arise in order to secure a safe airway for tumour excision. This was a high‐risk case in a patient who we believed required an awake tracheostomy. We first undertook cricothyroid puncture with a Ravussin cannula to enable oxygenation of the patient whilst sedation was administered in order for the patient to better tolerate tracheostomy insertion. The outcome was improved patient comfort and cooperation in placement of the awake tracheostomy.
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