ABSTRACT
Abstract Hydatid cyst in the cervical region is an extremely rare condition that can create challenges for anesthesiologists. Timely recognition of difficult airway and preparing the management plan is crucial to avoid life-threatening complications such as hypoxic brain damage. We describe a case of difficult airway management in a patient with massive cervical hydatid cyst. We used a low-dose ketamine-propofol sedation and lidocaine spray for local oropharyngeal anesthesia. Muscular relaxants were not used, and spontaneous breathing was maintained during intubation. Recognition, assessment, and perioperative planning are essential for difficult airway management in patients with cervical hydatid cyst.
Resumo O cisto hidático na região cervical é uma condição extremamente rara que pode criar desafios para os anestesiologistas. O reconhecimento oportuno das vias aéreas difíceis e a preparação do plano de manejo são cruciais para evitar complicações com risco de vida, como danos cerebrais hipóxicos. Descrevemos um caso de difícil controle das vias aéreas em um paciente com cisto hidático cervical maciço. Utilizamos sedação com cetamina-propofol em baixa dose e spray de lidocaína para anestesia local orofaríngea. Relaxantes musculares não foram utilizados e a respiração espontânea foi mantida durante a intubação. O reconhecimento, a avaliação e o planejamento perioperatório são essenciais para o manejo difícil das vias aéreas em pacientes com cisto hidático cervical.
Subject(s)
Humans , Male , Adult , Airway Obstruction/parasitology , Echinococcosis/complications , Cervical Cord/parasitology , Propofol/administration & dosage , Echinococcosis/surgery , Airway Management , Intubation, Intratracheal , Ketamine/administration & dosage , Anesthesia, Local/adverse effects , Lidocaine/administration & dosageABSTRACT
The interrelation between various parasitic infections and pulmonary manifestations, using clinical, radiological, laboratory and ventilatory functional data was assessed. Results of ventilatory function evaluation showed high significant reduction in mean values of peak expiratory flow rate [PEFR%], forced expiratory flow, forced expiratory volume in the first second [FEV1%] and forced vital capacity [FVC%] among patients with parasitic infection. Reversible obstructive dysfunction was detected in 5 cases [18.5%] of schistosomiasis, one case [9.1%] of fascioliasis, 3 cases [60%] of ascariasis and one case of strongyloidiasis. Irreversible obstructive dysfunction was detected in 7 cases [25.9%] of schistosomiasis while restrictive dysfunction was detected in 15 cases [55.6%] of schistosomiasis, one case [9.1%] of fascioliasis and 2 cases [100%] of pleuropulmonary hydatid disease. The study also revealed insignificant negative correlation between blood eosinophils and PEFR%, FEV1% and FVC% of patients with parasitic infections but insignificant positive correlation between blood eosinophils and FEF 25-75% of patients with parasitic infections