RESUMO
Awake intubation with a flexible fibrescope is usually done electively in patients with a known difficult airway. Herein, we describe the case of an elective awake tracheal intubation that was performed on a patient with a large, obstructive supraglottic mass. The intubation was successfully performed using the Bonfils fibrescope after several failed attempts with a flexible fibrescope. This case highlights the usefulness of the Bonfils fibrescope and the limitations of the flexible fibrescope in certain clinical situations.
Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Tecnologia de Fibra Óptica , Intubação Intratraqueal , Métodos , Neoplasias Laríngeas , Diagnóstico , Laringoscópios , Laringoscopia , Traqueia , Traqueostomia , Métodos , VigíliaRESUMO
Although rare, vallecular cysts can have catastrophic consequences in an anaesthetised patient if airway management is inappropriate. We report a case of difficult intubation in a 46-year-old man with a vallecular cyst, and detail the methods and strategies for successful endotracheal tube insertion. Following a review of the current literature, we also discuss airway management options in adult patients with vallecular cysts.