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Successful airway management with combined use of McGrath(®) MAC video laryngoscope and fiberoptic bronchoscope in a severe obese patient with huge goiter -a case report

Huge goitor can lead to tracheal compression and hence difficulty in intubation. This is compounded by severe obesity. Failed tracheal intubation in difficult intubation is a serious event that may lead to increased patient morbidity and mortality. Current intubation rescue techniques and combinatio...

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Autores principales: Chung, Mee Young, Park, Byunghoon, Seo, Jaeho, Kim, Chang Jae
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Anesthesiologists 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5995021/
https://www.ncbi.nlm.nih.gov/pubmed/29684995
http://dx.doi.org/10.4097/kja.d.18.27203
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author Chung, Mee Young
Park, Byunghoon
Seo, Jaeho
Kim, Chang Jae
author_facet Chung, Mee Young
Park, Byunghoon
Seo, Jaeho
Kim, Chang Jae
author_sort Chung, Mee Young
collection PubMed
description Huge goitor can lead to tracheal compression and hence difficulty in intubation. This is compounded by severe obesity. Failed tracheal intubation in difficult intubation is a serious event that may lead to increased patient morbidity and mortality. Current intubation rescue techniques and combination of different rescue techniques may increase the success rate of difficult intubation. In a 47-year-old female patient, with severe obesity and a huge goiter, our attempts at intubation using direct laryngoscope, video laryngoscope, and awake fiberoptic bronchoscope had failed. We succeeded by applying video laryngoscope to improve visualization of the airway and fiberoptic bronchoscope as a stylet for endotracheal tube.
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spelling pubmed-59950212018-06-12 Successful airway management with combined use of McGrath(®) MAC video laryngoscope and fiberoptic bronchoscope in a severe obese patient with huge goiter -a case report Chung, Mee Young Park, Byunghoon Seo, Jaeho Kim, Chang Jae Korean J Anesthesiol Case Report Huge goitor can lead to tracheal compression and hence difficulty in intubation. This is compounded by severe obesity. Failed tracheal intubation in difficult intubation is a serious event that may lead to increased patient morbidity and mortality. Current intubation rescue techniques and combination of different rescue techniques may increase the success rate of difficult intubation. In a 47-year-old female patient, with severe obesity and a huge goiter, our attempts at intubation using direct laryngoscope, video laryngoscope, and awake fiberoptic bronchoscope had failed. We succeeded by applying video laryngoscope to improve visualization of the airway and fiberoptic bronchoscope as a stylet for endotracheal tube. Korean Society of Anesthesiologists 2018-06 2018-04-24 /pmc/articles/PMC5995021/ /pubmed/29684995 http://dx.doi.org/10.4097/kja.d.18.27203 Text en Copyright © The Korean Society of Anesthesiologists, 2018 This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Chung, Mee Young
Park, Byunghoon
Seo, Jaeho
Kim, Chang Jae
Successful airway management with combined use of McGrath(®) MAC video laryngoscope and fiberoptic bronchoscope in a severe obese patient with huge goiter -a case report
title Successful airway management with combined use of McGrath(®) MAC video laryngoscope and fiberoptic bronchoscope in a severe obese patient with huge goiter -a case report
title_full Successful airway management with combined use of McGrath(®) MAC video laryngoscope and fiberoptic bronchoscope in a severe obese patient with huge goiter -a case report
title_fullStr Successful airway management with combined use of McGrath(®) MAC video laryngoscope and fiberoptic bronchoscope in a severe obese patient with huge goiter -a case report
title_full_unstemmed Successful airway management with combined use of McGrath(®) MAC video laryngoscope and fiberoptic bronchoscope in a severe obese patient with huge goiter -a case report
title_short Successful airway management with combined use of McGrath(®) MAC video laryngoscope and fiberoptic bronchoscope in a severe obese patient with huge goiter -a case report
title_sort successful airway management with combined use of mcgrath(®) mac video laryngoscope and fiberoptic bronchoscope in a severe obese patient with huge goiter -a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5995021/
https://www.ncbi.nlm.nih.gov/pubmed/29684995
http://dx.doi.org/10.4097/kja.d.18.27203
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