Use of remifentanil for awake fiberoptic intubation in a morbidly obese patient with severe inflammation of the neck
| Autor: | F. K. Pühringer, J. Obwegeser, W. Puchner |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
Odontogenic infection
medicine.medical_specialty business.industry Sedation medicine.medical_treatment Remifentanil General Medicine Airway obstruction medicine.disease Surgery Anesthesiology and Pain Medicine Tracheotomy Anesthesia medicine Intubation Local anesthesia medicine.symptom Airway business medicine.drug |
| Zdroj: | Acta Anaesthesiologica Scandinavica. 46:473-476 |
| ISSN: | 0001-5172 |
| DOI: | 10.1034/j.1399-6576.2002.460426.x |
| Popis: | Impending upper airway obstruction due to odontogenic facial and cervical spreading infection is a potential fatal situation that requires urgent treatment. In particular, securing the threatened airway is a priority and a precondition to the pressing need for surgery. The best approach to establish the difficult airway is awake fiberoptic intubation or scheduled tracheotomy under local anesthesia. We report a critical case of severe swelling of the neck in a morbidly obese patient with no alternative to awake fiberoptic intubation. The primary goals of optimal safety for the patient and appropriate intubating conditions for the anesthesiologist made us to consider a new method of patient medication. |
| Databáze: | OpenAIRE |
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