ABSTRACT
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Subject(s)
Humans , Intubation, Intratracheal/methods , Case Management , Equipment Design , Intubation, Intratracheal/instrumentation , Mouth , Nasal CavityABSTRACT
OBJECTIVE: To assess the level of intubation difficulty and anatomical changes after hyoid surgery. To evaluate the difficulty of switching from nasotracheal to orotracheal intubation after hyoid and palatopharyngeal surgery using an exchanger. MATERIAL AND METHODS: Prospective study enrolling 30 patients undergoing surgery for obstructive sleep apnea syndrome (OSAS) in 2 consecutive phases. Anatomical features suggesting risk of difficult intubation, anatomical changes caused by surgery, the incidence of failure to intubate upon first attempt during the first surgical session, and upon switching from nasal to oral intubation, and the time required to intubate were recorded. The rate of complications during and after surgery was also noted. RESULTS: The incidence of difficult intubation was 15% and no complications developed in the switch from nasotracheal to orotracheal intubation (100% success rate). CONCLUSION: New surgical treatments for the OSAS patient require new anesthetic maneuvers such as nasotracheal-orotracheal intubation exchange after hyoid surgery. The exchanger used in the present study offers a valid way to achieve airway management in this situation.
Subject(s)
Hyoid Bone/surgery , Intubation, Intratracheal/methods , Sleep Apnea, Obstructive/surgery , Equipment Design , Humans , Intraoperative Care , Intubation, Intratracheal/instrumentation , Male , Middle Aged , Prospective StudiesABSTRACT
OBJETIVO: Establecer el grado de dificultad de intubación así como las alteraciones anatómicas tras la cirugía hioidea. Valorar la dificultad que plantea el cambio de intubación nasotraqueal a orotraqueal tras la cirugía hioidea y palatofaríngea empleando un intercambiador. MATERIALES Y MÉTODOS: Estudio prospectivo en el que se incluyeron 30 pacientes intervenidos de cirugía del Síndrome de Apnea Obstructiva del Sueño (SAOS) en dos tiempos quirúrgicos consecutivos. Se recogieron variables anatómicas predictivas de intubación difícil, los cambios anatómicos producidos por la cirugía, la incidencia de intubaciones fallidas en el primer tiempo quirúrgico y en el cambio de intubación nasal a oral, recogiéndose el tiempo empleado en dicho cambio. También se recogieron las complicaciones intra y postoperatorias. RESULTADOS: La incidencia de intubación difícil fue de un 15%, ninguno de los cambios de intubación nasotraqueal a orotraqueal presentó complicaciones, obteniéndose un 100% de intubaciones exitosas. CONCLUSIÓN: Las nuevas técnicas quirúrgicas en el paciente con SAOS, implican nuevas actuaciones anestésicas, como el cambio de intubación nasotraqueal a orotraqueal necesario tras la cirugía hioidea. El intercambiador empleado en el presente trabajo plantea una alternativa valida para el manejo de la vía aérea en esa situación
OBJECTIVE: To assess the level of intubation difficulty and anatomical changes after hyoid surgery. To evaluate the difficulty of switching from nasotracheal to orotracheal intubation after hyoid and palatopharyngeal surgery using an exchanger. MATERIAL AND METHODS: Prospective study enrolling 30 patients undergoing surgery for obstructive sleep apnea syndrome (OSAS) in 2 consecutive phases. Anatomical features suggesting risk of difficult intubation, anatomical changes caused by surgery, the incidence of failure to intubate upon first attempt during the first surgical session, and upon switching from nasal to oral intubation, and the time required to intubate were recorded. The rate of complications during and after surgery was also noted. RESULTS: The incidence of difficult intubation was 15% and no complications developed in the switch from nasotracheal to orotracheal intubation (100% success rate). CONCLUSION: New surgical treatments for the OSAS patient require new anesthetic maneuvers such as nasotracheal- orotracheal intubation exchange after hyoid surgery. The exchanger used in the present study offers a valid way to achieve airway management in this situation
Subject(s)
Male , Humans , Hyoid Bone/surgery , Intubation, Intratracheal/methods , Sleep Apnea, Obstructive/surgery , Equipment Design , Intraoperative Care , Intubation, Intratracheal/instrumentation , Prospective StudiesABSTRACT
No disponible
Subject(s)
Adolescent , Aged , Male , Humans , Subarachnoid Space , Anesthesia, Spinal , Anesthesia , Scoliosis , Mitochondrial Myopathies , Prader-Willi Syndrome , Transurethral Resection of ProstateSubject(s)
Anesthesia, General , Antithrombin III Deficiency/congenital , Humans , Male , Middle AgedABSTRACT
No disponible
