An awake double lumen endotracheal tube intubation using the Clarus Video System in a patient with an epiglottic cyst: a case report
A 54-year-old male patient was scheduled for an elective pylorus-preserving pancreaticoduodenectomy combined with video-assisted thoracic surgery at our hospital. This patient had a history of intubation failure in other institutions due to an epiglottic cyst. An airway assessment of the patient was...
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| Format: | Article |
| Language: | English |
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Korean Society of Anesthesiologists
2014-02-01
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| Series: | Korean Journal of Anesthesiology |
| Subjects: | |
| Online Access: | http://ekja.org/upload/pdf/kjae-66-157.pdf |
| _version_ | 1818238328253710336 |
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| author | Hyungseok Seo Gunn Lee Seung-il Ha Jun-Gol Song |
| author_facet | Hyungseok Seo Gunn Lee Seung-il Ha Jun-Gol Song |
| author_sort | Hyungseok Seo |
| collection | DOAJ |
| description | A 54-year-old male patient was scheduled for an elective pylorus-preserving pancreaticoduodenectomy combined with video-assisted thoracic surgery at our hospital. This patient had a history of intubation failure in other institutions due to an epiglottic cyst. An airway assessment of the patient was normal. A preoperative laryngoscopy revealed a bulging epiglottic mass covering most of the epiglottis and occupying most of the pharyngeal space. The patient was administered intravenous midazolam 1 mg, fentanyl 50 µg, and glycopyrrolate 0.2 mg. A bilateral superior laryngeal nerve block was then performed with 2% lidocaine 2 ml on each side. A 10% lidocaine spray was applied on to the oropharynx. After preoxygenation with 100% oxygen over 10 minutes, a rigid fiberscope with an optical stylet loaded with a 37 Fr double lumen endotracheal tube was inserted orally and passed into the glottic aperture. The patient was fully awakened after surgical procedure and was transferred to the recovery room after extubation. |
| first_indexed | 2024-12-12T12:39:54Z |
| format | Article |
| id | doaj.art-5aa823120a084fb6ac16d63e4708a8bd |
| institution | Directory Open Access Journal |
| issn | 2005-6419 2005-7563 |
| language | English |
| last_indexed | 2024-12-12T12:39:54Z |
| publishDate | 2014-02-01 |
| publisher | Korean Society of Anesthesiologists |
| record_format | Article |
| series | Korean Journal of Anesthesiology |
| spelling | doaj.art-5aa823120a084fb6ac16d63e4708a8bd2022-12-22T00:24:13ZengKorean Society of AnesthesiologistsKorean Journal of Anesthesiology2005-64192005-75632014-02-0166215715910.4097/kjae.2014.66.2.1577819An awake double lumen endotracheal tube intubation using the Clarus Video System in a patient with an epiglottic cyst: a case reportHyungseok Seo0Gunn Lee1Seung-il Ha2Jun-Gol Song3Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.A 54-year-old male patient was scheduled for an elective pylorus-preserving pancreaticoduodenectomy combined with video-assisted thoracic surgery at our hospital. This patient had a history of intubation failure in other institutions due to an epiglottic cyst. An airway assessment of the patient was normal. A preoperative laryngoscopy revealed a bulging epiglottic mass covering most of the epiglottis and occupying most of the pharyngeal space. The patient was administered intravenous midazolam 1 mg, fentanyl 50 µg, and glycopyrrolate 0.2 mg. A bilateral superior laryngeal nerve block was then performed with 2% lidocaine 2 ml on each side. A 10% lidocaine spray was applied on to the oropharynx. After preoxygenation with 100% oxygen over 10 minutes, a rigid fiberscope with an optical stylet loaded with a 37 Fr double lumen endotracheal tube was inserted orally and passed into the glottic aperture. The patient was fully awakened after surgical procedure and was transferred to the recovery room after extubation.http://ekja.org/upload/pdf/kjae-66-157.pdfairway obstructiondifficult intubationlaryngeal mass |
| spellingShingle | Hyungseok Seo Gunn Lee Seung-il Ha Jun-Gol Song An awake double lumen endotracheal tube intubation using the Clarus Video System in a patient with an epiglottic cyst: a case report Korean Journal of Anesthesiology airway obstruction difficult intubation laryngeal mass |
| title | An awake double lumen endotracheal tube intubation using the Clarus Video System in a patient with an epiglottic cyst: a case report |
| title_full | An awake double lumen endotracheal tube intubation using the Clarus Video System in a patient with an epiglottic cyst: a case report |
| title_fullStr | An awake double lumen endotracheal tube intubation using the Clarus Video System in a patient with an epiglottic cyst: a case report |
| title_full_unstemmed | An awake double lumen endotracheal tube intubation using the Clarus Video System in a patient with an epiglottic cyst: a case report |
| title_short | An awake double lumen endotracheal tube intubation using the Clarus Video System in a patient with an epiglottic cyst: a case report |
| title_sort | awake double lumen endotracheal tube intubation using the clarus video system in a patient with an epiglottic cyst a case report |
| topic | airway obstruction difficult intubation laryngeal mass |
| url | http://ekja.org/upload/pdf/kjae-66-157.pdf |
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