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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Format: | Article |
Language: | English |
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Korean Society of Anesthesiologists
2018-06-01
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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. |
first_indexed | 2024-12-13T11:32:22Z |
format | Article |
id | doaj.art-35100a66c5d54bbcb947de2e39cffb43 |
institution | Directory Open Access Journal |
issn | 2005-6419 2005-7563 |
language | English |
last_indexed | 2024-12-13T11:32:22Z |
publishDate | 2018-06-01 |
publisher | Korean Society of Anesthesiologists |
record_format | Article |
series | Korean Journal of Anesthesiology |
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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