Difficult endotracheal intubation secondary to tracheal deviation and stenosis in a patient with severe kyphoscoliosis: a case report.
10.4097/kjae.2016.69.4.386
- Author:
Hyun Jung KIM
1
;
Yun Suk CHOI
;
Sang Hyun PARK
;
Jun Ho JO
Author Information
1. Department of Anesthesiology and Pain Medicine, Jeju National University School of Medicine, Jeju, Korea. solafide5@yahoo.co.kr
- Publication Type:Case Report
- Keywords:
Intubation;
Kyphosis;
Scoliosis;
Tracheal disease
- MeSH:
Anesthesia, General;
Bays;
Bronchoscopy;
Constriction, Pathologic*;
Humans;
Intubation;
Intubation, Intratracheal*;
Kyphosis;
Scoliosis;
Trachea;
Tracheal Diseases;
Vocal Cords
- From:Korean Journal of Anesthesiology
2016;69(4):386-389
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report on a case of difficult endotracheal intubation in a patient with marked tracheal deviation at an angle of 90 degrees combined with stenosis due to kyphoscoliosis with vertebral body fusion. After induction of general anesthesia, a proper laryngeal view was easily obtained using a videolaryngoscope. But a tracheal tube could not be advanced more than 3 cm beyond the vocal cords due to resistance, despite various attempts, including the use of small size tubes, full rotation of the tube tip, and fiberoptic bronchoscopy. Ultimately, the airway was successfully secured by placing a tube tip above the area of resistance and by additionally packing saline-soaked gauzes around the tracheal inlet to minimize gas leakage and to fasten the tube in the trachea.
