Uso del videolaringoscopio King Vision® en una vía aérea difícil no esperada por un quiste vallecular gigante en un adulto, a propósito de un caso
Autor: | P. de la Rica Fernández, L. España Fuente, J.L. González González |
---|---|
Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Laryngoscopy Context (language use) Critical Care and Intensive Care Medicine medicine.disease Asymptomatic Surgery 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine Otorhinolaryngology 030202 anesthesiology medicine Intubation Cyst Airway management medicine.symptom 030223 otorhinolaryngology Airway business |
Zdroj: | Revista Española de Anestesiología y Reanimación. 64:108-111 |
ISSN: | 0034-9356 |
DOI: | 10.1016/j.redar.2016.08.003 |
Popis: | Laryngeal cysts are largely asymptomatic and typically described in the context of incidental discovery on routine laryngoscopy. These cysts, in adults are even rarer and can have catastrophic consequences in an anaesthetized patient if airway management is inappropriate. We describe a case of difficult endotracheal intubation and the treatment of an adult patient with an asymptomatic, giant vallecular cyst that was discovered during rapid-sequence induction of general anesthesia in urgent surgery. In conclusion, vallecular cysts can cause extreme problems in securing the airway. It is important to avoid complications associated with repeated attempts at intubation, airway loss, or cyst rupture causing difficulty visualizing vocal cords and aspiration. The use of King Vision® videolaryngoscope is a good alternative in these cases. Close attention to logistics and the immediate availability of an otolaryngologist is vital. |
Databáze: | OpenAIRE |
Externí odkaz: |