scholarly journals 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

2018 ◽  
Vol 71 (3) ◽  
pp. 232-236 ◽  
Author(s):  
Mee Young Chung ◽  
Byunghoon Park ◽  
Jaeho Seo ◽  
Chang Jae Kim



2020 ◽  
Vol 67 (4) ◽  
pp. 230-232
Author(s):  
Nanako Ikeda ◽  
Tomoka Matsumura ◽  
Haruna Kono ◽  
Yukiko Baba ◽  
Miho Hanaoka ◽  
...  

This is a case report of a 75-year-old man scheduled for apical resection and cystectomy of odontogenic cysts involving both maxillary central incisors who presented with a previously unknown laryngeal mass that was discovered prior to intubation. Following induction and easy mask ventilation, direct laryngoscopy revealed a large mass on the right side of the glottis that impeded passage of a standard oral endotracheal tube. Successful atraumatic intubation was performed with the combination of a video laryngoscope (King Vision, Ambu Inc, Ballerup, Denmark) and a gum elastic bougie (GEB). Although a GEB may not be used routinely for tracheal intubation, it facilitated smooth advancement of the endotracheal tube without damaging the laryngeal mass when used in combination with video laryngoscopy.





2015 ◽  
Vol 23 (2) ◽  
pp. 101-104
Author(s):  
Sedat HAKİMOĞLU ◽  
Murat KARCIOĞLU ◽  
Kasım TUZCU ◽  
Işıl DAVARCI ◽  
Onur KOYUNCU ◽  
...  


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Shoko Hasegawa ◽  
Kenichiro Koda ◽  
Masashi Uzawa ◽  
Haruka Kimura ◽  
Rie Kimura ◽  
...  

Abstract Background Most patients with congenital tracheal stenosis (CTS) develop respiratory symptoms early in life. CTS remaining undiagnosed until adulthood is rare. Case presentation A 51-year-old female was scheduled for cardiovascular surgery. She had undergone laparoscopic surgery 3 years earlier and was found to have a difficult airway. Postoperatively, she was diagnosed with CTS. For the current cardiovascular surgery, combined use of a McGRATHTM MAC videolaryngoscope and fiberoptic bronchoscope allowed sufficient visualization of the glottis and trachea, resulting in successful intubation. Conclusions CTS patients have a high probability of difficult intubation. Our experience suggests the efficacy of combined use of a videolaryngoscope and fiberoptic bronchoscope for airway management in CTS patients.



2021 ◽  
Author(s):  
Christian Lamar Scheibe ◽  
Luis Eduardo Veras Pinto ◽  
José Aparecido Valadão ◽  
Caio Márcio Barros de Oliveira ◽  
Ed Carlos Rey Moura ◽  
...  


Author(s):  
Jürgen Knapp ◽  
Bettina Eberle ◽  
Michael Bernhard ◽  
Lorenz Theiler ◽  
Urs Pietsch ◽  
...  

Abstract Background Tracheal intubation remains the gold standard of airway management in emergency medicine and maximizing safety, intubation success, and especially first-pass intubation success (FPS) in these situations is imperative. Methods We conducted a prospective observational study on all 12 helicopter emergency medical service (HEMS) bases of the Swiss Air Rescue, between February 15, 2018, and February 14, 2019. All 428 patients on whom out-of-hospital advanced airway management was performed by the HEMS crew were included. The C-MAC video laryngoscope was used as the primary device for tracheal intubation. Intubation procedures were recorded by the video laryngoscope and precise time points were recorded to verify the time necessary for each attempt and the overall procedure time until successful intubation. The videos were further analysed for problems and complications during airway management by an independent reviewer. Additionally, a questionnaire about the intubation procedure, basic characteristics of the patient, circumstances, environmental factors, and the provider’s level of experience in airway management was filled out. Main outcome measures were FPS of tracheal intubation, overall success rate, overall intubation time, problems and complications of video laryngoscopy. Results FPS rate was 87.6% and overall success rate 98.6%. Success rates, overall time to intubation, and subjective difficulty were not associated to the providers’ expertise in airway management. In patients undergoing CPR FPS was 84.8%, in trauma patients 86.4% and in non-trauma patients 93.3%. FPS in patients with difficult airway characteristics, facial trauma/burns or obesity ranges between 87 and 89%. Performing airway management indoors or inside an ambulance resulted in a significantly higher FPS of 91.1% compared to outdoor locations (p < 0.001). Direct solar irradiation on the screen, fogging of the lens, and blood on the camera significantly impaired FPS. Several issues for further improvements in the use of video laryngoscopy in the out-of-hospital setting and for quality control in airway management were identified. Conclusion Airway management using the C-MAC video laryngoscope with Macintosh blade in a group of operators with mixed experience showed high FPS and overall rates of intubation success. Video recording emergency intubations may improve education and quality control.



PM&R ◽  
2009 ◽  
Vol 1 ◽  
pp. S259-S259
Author(s):  
Charlotte H. Smith ◽  
Jamie Ashley ◽  
Laura Boas ◽  
Jamie Cieri ◽  
Curtis A. Merring ◽  
...  


2017 ◽  
Vol 47 (2) ◽  
pp. 130 ◽  
Author(s):  
Michele Cassetta ◽  
Federica Altieri ◽  
Stefano Pandolfi ◽  
Matteo Giansanti


Author(s):  
Lakshmi Kurnutala ◽  
Minal Joshi ◽  
H Kamath ◽  
JOEL YARMUSH


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