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Chapter 24 - Weight Loss

Published online by Cambridge University Press:  24 April 2026

Angela Bray Lindsay
Affiliation:
Virginia Commonwealth University
Monica Kathleen Wattana
Affiliation:
University of Texas, MD Anderson Cancer Center
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Summary

1. Stridor denotes severe airway obstruction with impending respiratory failure that requires immediate evaluation and treatment, regardless of oxygenation level.

2. Obstruction may arise at the level of the pharynx, hypopharynx, epiglottis, larynx, subglottic region or trachea.

3. Regardless of the precise cause, begin therapy with IV corticosteroids and nebulized racemic epinephrine while completing the diagnostic work up. If head and neck cancer is suspected, administering steroids to reduce edema may allow time to organize airway management in a more controlled setting.

4. Keeping both the patient and staff calm is also important in maintaining the airway.

5. If intubation or emergent surgical airway is necessary defer to the most experienced personnel.

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