scholarly journals McGrath® videolaryngoscopy in an awake patient with a huge dangling vocal papilloma: a case report

2019 ◽  
Vol 47 (7) ◽  
pp. 3416-3420
Author(s):  
Sung Min Lee ◽  
Hyunyoung Lim
Keyword(s):  
Patient Safety ◽  
Case Report ◽  
Airway Management ◽  
Endotracheal Tube ◽  
Laryngeal Nerve ◽  
Fiberoptic Intubation ◽  
Radiological Evaluation ◽  
Awake Patient ◽  
Nerve Blocks ◽  
Endoscopic View

A 68-year-old patient with a huge dangling vocal papilloma was admitted for surgical resection. Preoperative data regarding the patient’s mass-related symptoms, endoscopic view, and radiological evaluation indicated that airway management would be difficult. Fiberoptic intubation has been considered an ideal primary approach to managing problematic airways, but blind advancement of the endotracheal tube without a clear, consistent view of the mass presents a significant threat to patient safety. This report describes how safe intubation was accomplished while the patient was awake using laryngeal nerve blocks and a McGrath® videolaryngoscope.

scholarly journals Airway Management of a Patient with Esophago-tracheal Perforation by Endotracheal Tube: A case report

2006 ◽  
Vol 51 (5) ◽  
pp. 627
Author(s):  
Mi Young Kwon ◽  
Hee Yeong Kim ◽  
Su Jin Kang ◽  
In Cheol Choi
Keyword(s):  
Case Report ◽  
Airway Management ◽  
Endotracheal Tube

Airway Management by Extended Endotracheal Tube for a Patient with Tracheal Stenosis during Laryngeal µscopic Surgery: A case report

2006 ◽  
Vol 51 (3) ◽  
pp. 367
Author(s):  
Dong Woo Han ◽  
Chul Ho Chang ◽  
Jong Seok Lee ◽  
Sungwon Na ◽  
Hye Gun Yang ◽  
...  
Keyword(s):  
Case Report ◽  
Airway Management ◽  
Endotracheal Tube ◽  
Tracheal Stenosis

scholarly journals Successful airway management of twin coincidental supraglottic and thyroid masses with difficult fiber optic intubation: a case report

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Chashamjot Bawa ◽  
Babita Ramdev ◽  
Rashi Sarna ◽  
Praveena Venkatreddy Reddum
Keyword(s):  
Case Report ◽  
Airway Management ◽  
Fiberoptic Intubation ◽  
External Compression ◽  
Case Presentation ◽  
Know How ◽  
Airway Anatomy ◽  
Thyroid Mass ◽  
Laryngeal Carcinomas ◽  
Indirect Laryngoscope

Abstract Background Aberrant airway anatomy in cases of laryngeal carcinomas makes airway management a herculean task for the anesthesiologist. What can further compound the situation is an external compression by thyroid mass. Case presentation We present a case report of successful airway management by awake nasal fiberoptic intubation in a 65-year-old male who was found to have compressive symptoms due to thyroid swelling in addition to supraglottic obstructive mass. Although a detailed airway examination and indirect laryngoscope did assist in planning the procedure, but what lay inside could only be dealt with by having an in-depth orientation of airway anatomy, practical know-how to fiberoptic scope, and swift reflexes to prevent an adverse event. Conclusion From our experience, fiberoptic intubation can only be optimally utilized if emphasis is laid on planning and preparation for the procedure which are key elements in making any difficult airway management successful.

Erratum: Recurrent Laryngeal Nerve Dissection

1980 ◽  
Vol 45 (3) ◽  
Author(s):  
Frank B. Wilson ◽  
D. J. Oldring ◽  
Kathleen Mueller
Keyword(s):  
Case Report ◽  
Recurrent Laryngeal Nerve ◽  
Laryngeal Nerve ◽  
Long Period ◽  
Initial Surgery

On page 112 of the report by Wilson, Oldring, and Mueller ("Recurrent Laryngeal Nerve Dissection: A Case Report Involving Return of Spastic Dysphonia after Initial Surgery," pp. 112-118), the paraphrase from Cooper (1971), "if the patients are carefully selected and are willing to remain in therapy for a long period of time," was inadvertantly put in quotation marks.

COMPARISON OF ‘AIRWAY NERVE BLOCK’ VS ‘SPRAY-AS-YOU-GO’ METHOD USED FOR AWAKE FLEXIBLE BRONCHOSCOPIC INTUBATION IN COMBINATION WITH CONSCIOUS SEDATION – A PROSPECTIVE, RANDOMISED, SINGLE BLIND STUDY

2021 ◽  
pp. 3-6
Author(s):  
Devesh Kumar Gupta ◽  
Shinu Kaur ◽  
Deepti Gupta
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Endotracheal Tube ◽  
Nerve Block ◽  
Conscious Sedation ◽  
Nasotracheal Intubation ◽  
Superior Laryngeal Nerve ◽  
Laryngeal Nerve ◽  
The Mean ◽  
Lidocaine Spray ◽  
Single Blind

Introduction: Fibreoptic Intubation (FOI) is the gold standard for managing difcult airways. There are various approaches such as: Nebulization with lidocaine; 'Spray as you go'(SAYGO); Airway nerve block - blocking superior laryngeal nerve & recurrent laryngeal nerve & sedation. The present study aims to compare 'airway nerve block' (NB) and 'spray as you go'(SA) method for awake exible bronchoscopic intubation used in combination with conscious sedation. Methods: 60 patients of age group 18 – 65 years with difcult airway undergoing general anaesthesia with nasotracheal intubation, were randomly allocated into two groups. After premedication & nasal preparation, all patients received injection dexmedetomidine at a dose of 1µg/kg in 100ml of 0.9% NS over 10 minutes. In Group SA, 2ml lignocaine 4% was sprayed above and below the cords after visibility of glottic opening via working channel of the bronchoscope and 2 ml lignocaine 4% within trachea before insertion of endotracheal tube. In Group NB, bilateral superior laryngeal nerves & recurrent laryngeal nerve was blocked. Then a exible breoptic bronchoscope preloaded with a exometallic endotracheal tube of appropriate size was then inserted via nasal route. Results: The mean intubation time for Group NB [87.27 ± 7.58 sec] was shorter than that for Group SA [190.33 ± 9.14] (p<0.0001). Conclusion: Awake exible bronchoscopic intubation under sedation with airway nerve block provides better intubating conditions compared to SAYGO

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