Awake Glidescope(R) intubation in a patient with a huge and fixed supraglottic mass: A case report.
10.4097/kjae.2010.59.S.S26
- Author:
Guen Seok CHOI
1
;
Sang Il PARK
;
Eun Ha LEE
;
Seok Hwa YOON
Author Information
1. Department of Anesthesiology and Pain Medicine, Chungnam National University Hospital, Daejeon, Korea. seohwy@cnu.ac.kr
- Publication Type:Case Report
- Keywords:
Difficult airway;
Fiberoptic bronchoscope;
Glidescope;
Stylet;
Supraglottic mass
- MeSH:
Airway Management;
Anesthesia;
Bronchoscopes;
Cartilage;
Glottis;
Humans;
Intubation;
Lidocaine;
Piperidines
- From:Korean Journal of Anesthesiology
2010;59(Suppl):S26-S29
- CountryRepublic of Korea
- Language:English
-
Abstract:
Intubating patients with a huge, fixed supraglottic mass causing an obstruction of the glottis is difficult to most anesthesiologists. We attempted awake fiberoptic orotracheal intubation assisted by Glidescope(R) Videolaryngoscope (GVL) following topical anesthesia with 4% lidocaine spray and remifentanil infusion. The glottis could not be identified by the GVL view. However, by entering toward the right side of the mass with bronchoscope, the glottis was found. Due to stiffness of the mass, we were unable to further enter the area using the bronchoscope. Alternatively, we attempted to expose the glottis by GVL blade and then successfully intubated the patient by manually pressing the cricoids cartilage. GVL is nonetheless an excellent instrument in airway management compared to fiberoptic bronchoscope for patients with a huge and fixed supraglottic mass.
