Peer-reviewedCC BY-NC-SA 4.0Annals of Cardiac Anaesthesia
Posterior Mediastinal Biopsy Gone Awry: Managing Biopsy Needle-Induced Intubation Challenges in Emergency Surgery
- 1Department of Anesthesiology and Critical Care, Superspeciality Hospital, Nagpur, Maharashtra, India
Abstract
Foreign bodies entering the thorax via a posterior trajectory present distinct challenges in positioning and intubation, particularly during emergency exploration. We present the case of a 37-year-old female who sustained a subclavian artery perforation during a computed tomography-guided biopsy for a posterior mediastinal mass. The biopsy needle advanced to the left common carotid artery. She was brought in the prone position for emergency surgical exploration, which posed significant challenges for airway management. This case highlights the importance of flexible airway strategies, multidisciplinary coordination, and decision-making in managing endotracheal intubation under non-standard conditions.
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BibTeX
@article{badge2026posterior,
title = {{Posterior Mediastinal Biopsy Gone Awry: Managing Biopsy Needle-Induced Intubation Challenges in Emergency Surgery}},
author = {Mohanish Rajendra Badge and Lulu Fatema Vali and Aditya S. Rao and Pallavi Wankhede},
journal = {Annals of Cardiac Anaesthesia},
year = {2026},
month = oct,
doi = {10.4103/aca.aca_355_25},
url = {https://doi.org/10.4103/aca.aca_355_25},
note = {CC BY-NC-SA 4.0},
}
RIS
TY - JOUR
TI - Posterior Mediastinal Biopsy Gone Awry: Managing Biopsy Needle-Induced Intubation Challenges in Emergency Surgery
AU - Mohanish Rajendra Badge
AU - Lulu Fatema Vali
AU - Aditya S. Rao
AU - Pallavi Wankhede
PY - 2026
DA - 2026/10/12
JO - Annals of Cardiac Anaesthesia
DO - 10.4103/aca.aca_355_25
UR - https://doi.org/10.4103/aca.aca_355_25
AB - Foreign bodies entering the thorax via a posterior trajectory present distinct challenges in positioning and intubation, particularly during emergency exploration. We present the case of a 37-year-old female who sustained a subclavian artery perforation during a computed tomography-guided biopsy for a posterior mediastinal mass. The biopsy needle advanced to the left common carotid artery. She was brought in the prone position for emergency surgical exploration, which posed significant challenges for airway management. This case highlights the importance of flexible airway strategies, multidisciplinary coordination, and decision-making in managing endotracheal intubation under non-standard conditions.
SN - 0971-9784
SN - 0974-5181
ER -