Use of remifentanil for awake fiberoptic intubation in a morbidly obese patient with severe inflammation of the neck
Autor: | W, Puchner, J, Obwegeser, F K, Pühringer |
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Rok vydání: | 2002 |
Předmět: | |
Zdroj: | Acta anaesthesiologica Scandinavica. 46(4) |
ISSN: | 0001-5172 |
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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