Manejo de vía aérea en pandemia. Caso clínico / Difficult airway during pandemia: Case report
Rev. chil. anest
;
49(5): 737-741, 2020. ilus
Artigo
em Português
| LILACS
| ID: biblio-1512262
ABSTRACT
We present a 38 years female patient with known difficult airway associated with an important anatomic deformation due to a tumoral removal back in 2014 (maxilectomy). This patient was scheduled for a new tumoral resection at the base of the skull, which was considered a potential regrowth of her maxilar sinus cancer, and because of that, the surgery admitted no delays. A multi-disciplinary approach is convenied and an AFOI with topical airway anesthesia and dexmedetomidine sedation is planned to secure the airway during surgery. The main Objective was to optimize the protective measures against SARS CoV2 transmission while securing spontaneous ventilation and patient collaboration during the procedure. To achieve this it was necessary a complex and multi-disciplinary teamwork between de intervening personal. Eventually the airway approach was successful and the surgery was carried out uneventfully. The patient was extubate and taken to the post anesthesia care unit with no recall nor sequel of the procedure.
RESUMEN
Presentamos un caso de una paciente de 38 años con predictores de vía aérea dificultosa anticipada, asociada a importante alteración anatómica secundaria a maxilectomía, por patología tumoral, en el año 2014. Actualmente, se sometió a resección tumoral de base de cráneo, considerada una patología no diferible (tiempo sensible) en el contexto de pandemia por COVID-19. Decidimos aplicar un plan de manejo multidisciplinario e intubación orotraqueal vigil mediante fibrobroncoscopia asociada a sedación superficial con dexmedetomidina y anestesia tópica. El objetivo principal fue maximizar las medidas de seguridad, manteniendo la ventilación espontánea y colaboración de la paciente durante el procedimiento. Finalmente, resultó exitoso, siendo la paciente extubada en el quirófano pasando luego a la Unidad de Recuperación Postanestésica, sin manifestar recuerdos ni secuelas del procedimiento realizado para concluir su postoperatorio en sala común.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Sedação Consciente
/
COVID-19
/
Intubação Intratraqueal
Limite:
Adulto
/
Feminino
/
Humanos
Idioma:
Português
Revista:
Rev. chil. anest
Assunto da revista:
Anestesiologia
Ano de publicação:
2020
Tipo de documento:
Artigo
País de afiliação:
Argentina
Instituição/País de afiliação:
Clínica Universitaria Reina Fabiola de Córdoba/AR
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