An Awake Flexible Scope Intubation for a Patient With Trisomy 21, COVID-19, and Ludwig’s Angina

For patients with known or suspected atlantoaxial instability, awake flexible scope intubation is often an attractive option for safely securing the airway. Due to the challenges of consent and cooperation, patients with trisomy 21 are generally considered to be poor candidates for this technique. H...

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Detalles Bibliográficos
Autores principales: Bozych, Marc, Smith, Emily
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Anesthesiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10540482/
https://www.ncbi.nlm.nih.gov/pubmed/37779784
http://dx.doi.org/10.7759/cureus.44370
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author Bozych, Marc
Smith, Emily
author_facet Bozych, Marc
Smith, Emily
author_sort Bozych, Marc
collection PubMed
description For patients with known or suspected atlantoaxial instability, awake flexible scope intubation is often an attractive option for safely securing the airway. Due to the challenges of consent and cooperation, patients with trisomy 21 are generally considered to be poor candidates for this technique. However, in rare instances, such as the case of this patient with co-existing Ludwig’s angina and COVID-19 pneumonia, the benefits of proceeding with an awake flexible scope intubation may outweigh the potential risks.
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spelling pubmed-105404822023-09-30 An Awake Flexible Scope Intubation for a Patient With Trisomy 21, COVID-19, and Ludwig’s Angina Bozych, Marc Smith, Emily Cureus Anesthesiology For patients with known or suspected atlantoaxial instability, awake flexible scope intubation is often an attractive option for safely securing the airway. Due to the challenges of consent and cooperation, patients with trisomy 21 are generally considered to be poor candidates for this technique. However, in rare instances, such as the case of this patient with co-existing Ludwig’s angina and COVID-19 pneumonia, the benefits of proceeding with an awake flexible scope intubation may outweigh the potential risks. Cureus 2023-08-30 /pmc/articles/PMC10540482/ /pubmed/37779784 http://dx.doi.org/10.7759/cureus.44370 Text en Copyright © 2023, Bozych et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Bozych, Marc
Smith, Emily
An Awake Flexible Scope Intubation for a Patient With Trisomy 21, COVID-19, and Ludwig’s Angina
title An Awake Flexible Scope Intubation for a Patient With Trisomy 21, COVID-19, and Ludwig’s Angina
title_full An Awake Flexible Scope Intubation for a Patient With Trisomy 21, COVID-19, and Ludwig’s Angina
title_fullStr An Awake Flexible Scope Intubation for a Patient With Trisomy 21, COVID-19, and Ludwig’s Angina
title_full_unstemmed An Awake Flexible Scope Intubation for a Patient With Trisomy 21, COVID-19, and Ludwig’s Angina
title_short An Awake Flexible Scope Intubation for a Patient With Trisomy 21, COVID-19, and Ludwig’s Angina
title_sort awake flexible scope intubation for a patient with trisomy 21, covid-19, and ludwig’s angina
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10540482/
https://www.ncbi.nlm.nih.gov/pubmed/37779784
http://dx.doi.org/10.7759/cureus.44370
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