“Spray-as-you-go” medical technique for awake intubation using a combination of an epidural catheter and the OptiScope in a patient with Ludwig's angina: A case report
Anesthesia and Pain Medicine
; : 336-340, 2018.
Article
em En
| WPRIM
| ID: wpr-715747
Biblioteca responsável:
WPRO
ABSTRACT
A 73-year-old woman presented to the emergency department with submandibular pain and swelling. The patient was diagnosed to have Ludwig's angina, and she was planned to undergo urgent incision and drainage under general anesthesia. However, her physical examination revealed severe diffuse swelling extending from the bilateral submandibular spaces to the submental space and further down to the neck. As our view was blocked by the patient's neck swelling, we did not perform a regional anesthesia of the airway or a transtracheal block. Several non-invasive alternatives were considered. The “spray-as-you-go” technique was chosen, and it was performed using the OptiScope®. However, the OptiScope did not have a working channel or syringe adaptor for the administration of the local anesthetic solution. To solve this problem, we combined the OptiScope with a 27-G tunneled epidural catheter (100 cm) for the administration of lidocaine and this combination made the awake intubation successful.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Exame Físico
/
Seringas
/
Drenagem
/
Serviço Hospitalar de Emergência
/
Catéteres
/
Intubação
/
Anestesia por Condução
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Anestesia Geral
/
Lidocaína
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Angina de Ludwig
Limite:
Aged
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Female
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Humans
Idioma:
En
Revista:
Anesthesia and Pain Medicine
Ano de publicação:
2018
Tipo de documento:
Article