Successful Use of a Video Laryngoscope Instead of a Flexible Bronchoscope in a Patient With a Deep Neck Abscess
- VernacularTitle:軟性気管支鏡よりも，ビデオ喉頭鏡を用いた意識下気管挿管が有用であった深頸部膿瘍の１例
- Author:
Makoto OYA
1
;
Hajime ARIMA
1
;
Yuki OIZUMI
1
;
Takatomo TESAKI
1
;
Kazushi OTA
1
;
Noriaki SEKIYA
1
;
Rie KINUGASA
1
;
Naoko TAKEUCHI
1
Author Information
- From:Journal of the Japanese Association of Rural Medicine 2024;73(1):27-31
- CountryJapan
- Language:Japanese
- Abstract: Deep neck abscess can cause upper airway stenosis and obstruction, and sometimes emergency airway management is required. Here we present a case of deep neck abscess in which awake intubation with a video laryngoscope (McGRATH™ MAC) was more useful than with flexible bronchoscope. A man in his 80s was transported to our hospital with throat and chest pain. Contrast-enhanced computed tomography revealed a deep neck abscess (right peritonsillar abscess). The otolaryngologist attempted drainage by puncture, but this was ineffective. There was a risk of upper airway obstruction, and emergency airway management was required. First, we attempted endotracheal intubation with a flexible bronchoscope but could not secure the field of view because of the upper airway edema and stenosis. Next, we attempted tracheal intubation using a video laryngoscope, which ultimately was successful. The blade of the video laryngoscope compressed and lifted the soft tissue and then it secured the space of the upper airway.
