Challenging Airway Management in Patients With Zenker’s Diverticulum
| Autor: | Christiano Dos Santos E Santos, Cristiane A. Tuma Santos, Lakshmi N Kurnutala |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
pharynx
medicine.medical_specialty airway management pulmonary aspiration business.industry medicine.medical_treatment Gastroenterology zenker’s diverticulum General Engineering anesthesia Rapid sequence induction medicine.disease Dysphagia Sugammadex Surgery Zenker's diverticulum Anesthesiology medicine Airway management medicine.symptom Dexmedetomidine Airway business Diverticulum medicine.drug |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | The acquired hypopharyngeal diverticulum (Zenker’s) is characterized by a posterior wall outpouching of the pharyngeal mucosa and submucosa through the vulnerable points of the pharyngoesophageal junction. We describe the case of a 67-year-old male who was recently diagnosed with Zenker's diverticulum and had complaints of dysphagia and halitosis. An endoscopic treatment (diverticulotomy) was performed without difficulties. The anesthetic management included rapid sequence induction, avoiding succinylcholine, and intraoperative infusion of dexmedetomidine. The neuromuscular blockade was reversed using sugammadex, decreasing the risk of failed extubation and possible airway re-intervention. The patient was discharged home the following day without complications. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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