Awake intubation in a patient with huge orocutaneous fistula: a case report
Journal of Dental Anesthesia and Pain Medicine
;
: 313-316, 2017.
Article
in English
| WPRIM
| ID: wpr-148447
ABSTRACT
Mask ventilation, the first step in airway management, is a rescue technique when endotracheal intubation fails. Therefore, ordinary airway management for the induction of general anesthesia cannot be conducted in the situation of difficult mask ventilation (DMV). Here, we report a case of awake intubation in a patient with a huge orocutaneous fistula. A 58-year-old woman was scheduled to undergo a wide excision, reconstruction with a reconstruction plate, and supraomohyoid neck dissection on the left side and an anterolateral thigh flap due to a huge orocutaneous fistula that occurred after a previous mandibulectomy and flap surgery. During induction, DMV was predicted, and we planned an awake intubation. The patient was sedated with dexmedetomidine and remifentanil. She was intubated with a nasotracheal tube using a video laryngoscope, and spontaneous ventilation was maintained. This case demonstrates that awake intubation using a video laryngoscope can be as good as a fiberoptic scope.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Neck Dissection
/
Thigh
/
Ventilation
/
Dexmedetomidine
/
Laryngoscopes
/
Airway Management
/
Mandibular Reconstruction
/
Fistula
/
Intubation
/
Intubation, Intratracheal
Limits:
Female
/
Humans
Language:
English
Journal:
Journal of Dental Anesthesia and Pain Medicine
Year:
2017
Type:
Article
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