Unconventional Application of a Nasogastric Tube for Effective Rescue Ventilation During Rigid Bronchoscopic Tumor Removal: A Case Report.

Anesthetic management of central airway tumors is challenging due to airway obstruction, lack of a definitive airway, and shared airway with surgeon. While a nasogastric tube (NGT) is primarily designed for feeding and administration of medication, it can be an auxiliary device in emergency situations, when airway anatomy poses a significant obstacle to traditional ventilation methods. We describe the use of an NGT as an alternative airway conduit to bypass the tumor and maintain ventilation in a case with a distal tracheal tumor causing complete airway occlusion.