A Case of Successful Use of C-MAC® Video Laryngoscope in ‘Cannot Ventilate’ Situation Due to Unexpected Severe Narrowing of Laryngeal Inlet.
- Author:
Jeong Hwan MOON
1
;
Sun Hong LEE
;
Bong Jin KANG
Author Information
1. Department of Otorhinolaryngology-Head & Neck Surgery, Dankook University College of Medicine, Cheonan, Korea.
- Publication Type:Case Report
- Keywords:
Unventilated emergency;
Laryngeal tumor;
Video laryngoscope
- MeSH:
Airway Obstruction;
Bays*;
Diagnosis;
Emergencies;
Emergency Treatment;
Granuloma;
Humans;
Intubation;
Laryngeal Neoplasms;
Laryngoscopes*;
Masks;
Ventilation;
Vocal Cord Paralysis;
Vocal Cords
- From:Journal of the Korean Society of Laryngology Phoniatrics and Logopedics
2016;27(2):122-125
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Although many factors associated with difficult intubation have been known, predictors of difficult mask ventilation are not well known. We experienced a case of nearly complete airway obstruction following usual anesthetic induction which needed various emergency treatments. The patient had a preoperative diagnosis of contact granuloma of right posterior vocal cord and bilateral vocal cord palsy but later was found out as invasive laryngeal cancer. Upon the surgical field of view, both vocal cords were showing significantly thickened and fixated appearance and was considered as in the critical narrowing state with the potential of complete obstruction. Using C-MAC® video laryngoscope we were able to see the narrowed vocal cord and choose proper size of endo-tracheal tube. Consequently, intubation was successfully done and operation was conducted. From this case, we have lessons that physicians should examine the patient's airway more carefully in case of laryngeal mass and prepare emergency measures.
