Successful airway management with combined use of McGrath MAC video laryngoscope and fiberoptic bronchoscope in a severe obese patient with huge goiter -a case report

Huge goitor can lead to tracheal compression and hence difficulty in intubation. This is compounded by severe obesity. Failed tracheal intubation in difficult intubation is a serious event that may lead to increased patient morbidity and mortality. Current intubation rescue techniques and combinatio...

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Main Authors: Mee Young Chung, Byunghoon Park, Jaeho Seo, Chang Jae Kim
Format: Article
Language:English
Published: Korean Society of Anesthesiologists 2018-06-01
Series:Korean Journal of Anesthesiology
Subjects:
Online Access:http://ekja.org/upload/pdf/kja-d-18-27203.pdf
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author Mee Young Chung
Byunghoon Park
Jaeho Seo
Chang Jae Kim
author_facet Mee Young Chung
Byunghoon Park
Jaeho Seo
Chang Jae Kim
author_sort Mee Young Chung
collection DOAJ
description Huge goitor can lead to tracheal compression and hence difficulty in intubation. This is compounded by severe obesity. Failed tracheal intubation in difficult intubation is a serious event that may lead to increased patient morbidity and mortality. Current intubation rescue techniques and combination of different rescue techniques may increase the success rate of difficult intubation. In a 47-year-old female patient, with severe obesity and a huge goiter, our attempts at intubation using direct laryngoscope, video laryngoscope, and awake fiberoptic bronchoscope had failed. We succeeded by applying video laryngoscope to improve visualization of the airway and fiberoptic bronchoscope as a stylet for endotracheal tube.
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spelling doaj.art-35100a66c5d54bbcb947de2e39cffb432022-12-21T23:47:54ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632018-06-0171323223610.4097/kja.d.18.272038401Successful airway management with combined use of McGrath MAC video laryngoscope and fiberoptic bronchoscope in a severe obese patient with huge goiter -a case reportMee Young ChungByunghoon ParkJaeho SeoChang Jae KimHuge goitor can lead to tracheal compression and hence difficulty in intubation. This is compounded by severe obesity. Failed tracheal intubation in difficult intubation is a serious event that may lead to increased patient morbidity and mortality. Current intubation rescue techniques and combination of different rescue techniques may increase the success rate of difficult intubation. In a 47-year-old female patient, with severe obesity and a huge goiter, our attempts at intubation using direct laryngoscope, video laryngoscope, and awake fiberoptic bronchoscope had failed. We succeeded by applying video laryngoscope to improve visualization of the airway and fiberoptic bronchoscope as a stylet for endotracheal tube.http://ekja.org/upload/pdf/kja-d-18-27203.pdfdifficult intubationfiberoptic bronchoscopehuge goitermcgrath mac video laryngoscope
spellingShingle Mee Young Chung
Byunghoon Park
Jaeho Seo
Chang Jae Kim
Successful airway management with combined use of McGrath MAC video laryngoscope and fiberoptic bronchoscope in a severe obese patient with huge goiter -a case report
Korean Journal of Anesthesiology
difficult intubation
fiberoptic bronchoscope
huge goiter
mcgrath mac video laryngoscope
title Successful airway management with combined use of McGrath MAC video laryngoscope and fiberoptic bronchoscope in a severe obese patient with huge goiter -a case report
title_full Successful airway management with combined use of McGrath MAC video laryngoscope and fiberoptic bronchoscope in a severe obese patient with huge goiter -a case report
title_fullStr Successful airway management with combined use of McGrath MAC video laryngoscope and fiberoptic bronchoscope in a severe obese patient with huge goiter -a case report
title_full_unstemmed Successful airway management with combined use of McGrath MAC video laryngoscope and fiberoptic bronchoscope in a severe obese patient with huge goiter -a case report
title_short Successful airway management with combined use of McGrath MAC video laryngoscope and fiberoptic bronchoscope in a severe obese patient with huge goiter -a case report
title_sort successful airway management with combined use of mcgrath mac video laryngoscope and fiberoptic bronchoscope in a severe obese patient with huge goiter a case report
topic difficult intubation
fiberoptic bronchoscope
huge goiter
mcgrath mac video laryngoscope
url http://ekja.org/upload/pdf/kja-d-18-27203.pdf
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