Decreased tongue mobility - an explanation for difficult endotracheal intubation?
| Autor: | Michael Kristensen, C. Rosenstock |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty Biopsy medicine.medical_treatment Endotracheal intubation Tongue Diseases Tongue Throat Intubation Intratracheal medicine Fiber Optic Technology Humans Intubation General anaesthesia Child Nose Aged Aged 80 and over Lymphangioma business.industry Retrograde intubation General Medicine Middle Aged Tongue Neoplasms Surgery Anesthesiology and Pain Medicine medicine.anatomical_structure Head and Neck Neoplasms Anesthesia Female Airway management business |
| Zdroj: | Acta Anaesthesiologica Scandinavica. 49:92-94 |
| ISSN: | 1399-6576 0001-5172 |
| DOI: | 10.1111/j.1399-6576.2004.00519.x |
| Popis: | Established parameters predictive of difficulty in airway management were inconclusive in five ear, nose and throat (ENT) patients. All presented with degrees of tongue fixation – restriction of movement. Initially, experienced anaesthetists concluded that conventional endotracheal intubation would present no problems. Later, there were adjustments to this conclusion, with the ultimate being that four of the patients underwent fibre-optic intubation: one electively, two after repeated failed conventional attempts and one after a failed attempt of retrograde intubation. The last patient underwent elective retrograde intubation. All intubations were performed uneventfully in anaesthetized or sedated patients under spontaneous respiration. We found that tongue fixation was a direct cause of failed conventional endotracheal intubation, and recommend that a detailed tongue status investigation should be routine during Mallampati evaluation. Any abnormality should be seen as predictive of difficult/impossible conventional direct laryngoscopic intubation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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