Difficult endotracheal intubation secondary to tracheal deviation and stenosis in a patient with severe kyphoscoliosis: a case report / 대한마취과학회지
Korean Journal of Anesthesiology
; : 386-389, 2016.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-41318
Responsible library:
WPRO
ABSTRACT
We report on a case of difficult endotracheal intubation in a patient with marked tracheal deviation at an angle of 90 degrees combined with stenosis due to kyphoscoliosis with vertebral body fusion. After induction of general anesthesia, a proper laryngeal view was easily obtained using a videolaryngoscope. But a tracheal tube could not be advanced more than 3 cm beyond the vocal cords due to resistance, despite various attempts, including the use of small size tubes, full rotation of the tube tip, and fiberoptic bronchoscopy. Ultimately, the airway was successfully secured by placing a tube tip above the area of resistance and by additionally packing saline-soaked gauzes around the tracheal inlet to minimize gas leakage and to fasten the tube in the trachea.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Scoliosis
/
Trachea
/
Tracheal Diseases
/
Vocal Cords
/
Bronchoscopy
/
Bays
/
Constriction, Pathologic
/
Intubation
/
Intubation, Intratracheal
/
Anesthesia, General
Limits:
Humans
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2016
Document type:
Article