1.Airway management in COVID-19: The University of the Philippines - Philippine General Hospital experience.
Anna Margarita F. Hilvano-Corsiga
Acta Medica Philippina 2022;56(18):6-11
As a designated COVID-19 referral center, managing COVID-19 patients who will require respiratory support was expected. This paper describes how the University of the Philippines - Philippine General Hospital Department of Anesthesiology created and continuously revised airway management guidelines for these patients in light of the constantly evolving COVID-19 pandemic.
COVID-19 ; SARS-CoV-2 ; Intubation ; Developing Countries
2.Two Airway Management Techniques in a Pediatric Patient with Temporomandibular Joint Ankylosis: Two-stage Fiberoptic Scope Intubation Technique and Video Laryngoscope-guided Conversion from Nasotracheal to Orotracheal Intubation -- A Case Report.
Michael Ryan A. Manera ; Anna Margarita F. Hilvano-Corsiga
Acta Medica Philippina 2022;56(18):45-51
Ankyloblepharon-ectodermal dysplasia-clefting (AEC) syndrome is an ectodermal dysplasia presenting with cleft lip or palate and congenital filiform eyelid fusion. This is a case report of a 1-year and 6-month-old girl with AEC syndrome presenting with temporomandibular joint ankylosis who underwent release of temporomandibular joint ankylosis, coronoidectomy, bilateral cheiloplasty, Tajima rhinoplasty, and repair of lower lip pits under general anesthesia. Fiberoptic nasotracheal intubation was done successfully using a two-stage technique originally described by Stiles. As necessitated by the surgical plan, video laryngoscope guidance was subsequently used to facilitate the conversion from nasotracheal to orotracheal intubation.
Ectodermal Dysplasia ; Temporomandibular ankylosis ; Airway Management
3.Anesthesia for a patient with base of tongue mass undergoing transoral robotic surgery: A case report
Mark Prince C. Soleta ; Anna Margarita F. Hilvano-Corsiga
Acta Medica Philippina 2024;58(9):70-75
Transoral robotic surgery (TORS) is a minimally invasive surgical technique that has recently gained popularity. This involves the use of a robotic system to access and operate on hard-to-reach areas of the body, such as the base of tongue and pharynx. General anesthesia is the technique of choice in TORS as this procedure poses unique challenges due to the patient's airway anatomy, the need for precise surgical movements, and the potential for postoperative complications. Awake fiberoptic intubation (AFOI) is the gold standard for an anticipated difficult airway. This case report describes the anesthetic management for a patient undergoing TORS for a tongue base mass.
Anesthesia