A fiberoptic orotracheal intubation successfully performed using a modified Guedel airway in a sedated emergency patient - A case report
| Autor: | Yang, Jaeyoung, Kim, Seonjin, Lee, Bousung, Lee, Kwanghaeng, Kim, Dongseok, Lee, Jaedo, Jun, Hee Jung, Yoon, Jin Sun, Cho, Sam Soon |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Convex side Aneshthesi general Case Report Airway management Guedel airway 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Anesthesiology Medicine Intubation 030212 general & internal medicine business.industry General Medicine respiratory system Intratracheal Deep sedation Anesthesia Acute appendicitis Orotracheal intubation General Article business Airway |
| Zdroj: | Anesthesia and Pain Medicine |
| ISSN: | 2383-7977 1975-5171 |
| Popis: | BackgroundAn airway assessment is usually best performed before an elective operation. But in an emergency operation, proper airway assessment can often be difficult. Fiberoptic intubation is a powerful and safe technique to deal with airway difficulty, but it requires a lot of training to be able to perform correctly. There are various specialized oral airways for fiberoptic intubation, but none of them have perfect functionality.CaseA 75-year-old male (body weight 71.6 kg, height 159.3 cm, body mass index 28.22 kg/m2) was diagnosed with acute appendicitis, and it was decided to do a laparoscopic appendectomy. After the induction of general anesthesia, it was impossible to insert the direct laryngoscope deep enough for vocal cord visualization without damaging the teeth because of limited mouth opening. We successfully performed fiberoptic intubation with a newly modified Guedel airway via a longitudinal channel on the convex side and a distal opened lingual end.ConclusionsOur modified Guedel airway can be useful in assisting fiberoptic intubation in unexpectedly difficult airway situations. |
| Databáze: | OpenAIRE |
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