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Extraluminal Bougie-Assisted Endotracheal Tube Exchange Performed by Helicopter Emergency Medical Services.
Air Med J
December 2024
UW Health Med Flight, Madison, WI; Berbee Walsh Department of Emergency Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI.
The transport of intubated patients is a common but high-risk scenario for air medical transport crews. In the case presented, a physician-nurse HEMS crew responded for the interfacility transfer of a patient with severe angioedema who had undergone awake fiberoptic nasotracheal intubation in the referring emergency department. The endotracheal tube had been damaged, however, and could not be adequately secured for transport.
View Article and Find Full Text PDFAnaesthesia Management of A Patient with Airway Obstruction Caused by Prosthetic Vascular Graft Invasion into the Tracheal Lumen.
Turk J Anaesthesiol Reanim
October 2024
University of Health Sciences Turkey, Bağcılar Training and Research Hospital, Clinic of Anaesthesiology İstanbul, Turkey.
Primary intratracheal masses causing luminal obstruction are relatively rare, posing a challenge for anaesthesiologists in airway management. This case report describes a distinctive airway management approach in a 71-year-old female patient with an aorta-carotid artery bypass graft that significantly obstructed the trachea. The patient presented with worsening shortness of breath, and a thoracic computed tomography scan revealed a 19.
View Article and Find Full Text PDFFasttrack intubation with the head rotated 30° following a cervical stab wound. A case report.
Int J Surg Case Rep
December 2024
Department of Anesthesia and Intensive Care, Ben Arous Trauma and Burn Center, 2013 Ben Arous, Tunisia; University of Tunis Medical School, Tunisia; University Tunis El Manar Medical School, Tunisia.
Article Synopsis
- Airway management in cervical trauma cases can be particularly difficult, especially with intubation, as it often requires maintaining a neutral head position, which may not be possible due to injury.
- A case of a 19-year-old with a blunt cervical spine injury from an assault showed he was stable but required careful positioning and intubation, which was successfully completed using a LMA Factrach.
- While traditional intubation methods may be challenging in non-standard positions, techniques like awake fiberoptic nasotracheal intubation and videolaryngoscopy are recommended for better outcomes in difficult situations.
Comparison of propofol versus dexmedetomidine sedation for awake C-MAC D-Blade video laryngoscopic nasotracheal intubation in patients with difficult airway: A randomised clinical study.
Indian J Anaesth
August 2024
Department of Anaesthesia and Critical Care, Rajiv Gandhi Cancer Institute and Research Centre, Delhi, India.
Background And Aims: Awake intubation is the preferred method for securing difficult airways. We compared intravenous (IV) propofol and dexmedetomidine for C-MAC D-blade-guided anticipated difficult nasotracheal intubation under conscious sedation.
Methods: This randomised study included 60 patients with difficult airway (El-Ganzouri Score 4-9).
The Flexible Rhino-Laryngoscope for Awake Nasotracheal Intubation.
J Vis Exp
August 2024
Otorhinolaryngology Department, "Iuliu Hatieganu" University of Medicine and Pharmacy.
Difficulties or failures in securing the airway still occur and can lead to permanent disabilities and mortality. Patients with head and neck pathologies obstructing airway access are at risk of airway management failure once they lose spontaneous respiration. Awake flexible scope intubation is considered the gold standard for controlling the airway in such patients.
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