Successful endotracheal intubation with Trachway after failed fiber-optic manipulations in a patient with retropharyngeal cervical chordoma
A retropharyngeal mass may distort the airway anatomy and reduce the space available for manipulation of intubation devices. We encountered a patient with a cervical chordoma occupying the retropharyngeal space. Fiber-optic orotracheal intubation was attempted to secure the airway. Although the fibe...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2017-01-01
|
| Series: | Tzu-Chi Medical Journal |
| Subjects: | |
| Online Access: | http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=3;spage=174;epage=176;aulast=Chen |
| _version_ | 1828891214367162368 |
|---|---|
| author | Yi-Ting Chen Chun-Ning Ho Kuo-Chuan Hung |
| author_facet | Yi-Ting Chen Chun-Ning Ho Kuo-Chuan Hung |
| author_sort | Yi-Ting Chen |
| collection | DOAJ |
| description | A retropharyngeal mass may distort the airway anatomy and reduce the space available for manipulation of intubation devices. We encountered a patient with a cervical chordoma occupying the retropharyngeal space. Fiber-optic orotracheal intubation was attempted to secure the airway. Although the fiber-optic bronchoscope (FOB) was successfully placed into the trachea, the tracheal tube could not be passed through the glottis. An airway was then successfully established with the Trachway device, a video-assisted system with a rigid but malleable intubating stylet. In conclusion, although a FOB is commonly used to secure a difficult airway, the present case report demonstrates that fiber-optic intubation is not always successful. Video intubation devices with a rigid stylet (such as Trachway) may be helpful in patients with a cervical chordoma. We suggest this device be available as backup for patients with distorted airway anatomy. |
| first_indexed | 2024-12-13T13:13:20Z |
| format | Article |
| id | doaj.art-68f3e044a6a040db804841ec63f70720 |
| institution | Directory Open Access Journal |
| issn | 1016-3190 2223-8956 |
| language | English |
| last_indexed | 2024-12-13T13:13:20Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Tzu-Chi Medical Journal |
| spelling | doaj.art-68f3e044a6a040db804841ec63f707202022-12-21T23:44:37ZengWolters Kluwer Medknow PublicationsTzu-Chi Medical Journal1016-31902223-89562017-01-0129317417610.4103/tcmj.tcmj_63_17Successful endotracheal intubation with Trachway after failed fiber-optic manipulations in a patient with retropharyngeal cervical chordomaYi-Ting ChenChun-Ning HoKuo-Chuan HungA retropharyngeal mass may distort the airway anatomy and reduce the space available for manipulation of intubation devices. We encountered a patient with a cervical chordoma occupying the retropharyngeal space. Fiber-optic orotracheal intubation was attempted to secure the airway. Although the fiber-optic bronchoscope (FOB) was successfully placed into the trachea, the tracheal tube could not be passed through the glottis. An airway was then successfully established with the Trachway device, a video-assisted system with a rigid but malleable intubating stylet. In conclusion, although a FOB is commonly used to secure a difficult airway, the present case report demonstrates that fiber-optic intubation is not always successful. Video intubation devices with a rigid stylet (such as Trachway) may be helpful in patients with a cervical chordoma. We suggest this device be available as backup for patients with distorted airway anatomy.http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=3;spage=174;epage=176;aulast=ChenChordomaFiber-optic intubationRetromolar intubationTrachway |
| spellingShingle | Yi-Ting Chen Chun-Ning Ho Kuo-Chuan Hung Successful endotracheal intubation with Trachway after failed fiber-optic manipulations in a patient with retropharyngeal cervical chordoma Tzu-Chi Medical Journal Chordoma Fiber-optic intubation Retromolar intubation Trachway |
| title | Successful endotracheal intubation with Trachway after failed fiber-optic manipulations in a patient with retropharyngeal cervical chordoma |
| title_full | Successful endotracheal intubation with Trachway after failed fiber-optic manipulations in a patient with retropharyngeal cervical chordoma |
| title_fullStr | Successful endotracheal intubation with Trachway after failed fiber-optic manipulations in a patient with retropharyngeal cervical chordoma |
| title_full_unstemmed | Successful endotracheal intubation with Trachway after failed fiber-optic manipulations in a patient with retropharyngeal cervical chordoma |
| title_short | Successful endotracheal intubation with Trachway after failed fiber-optic manipulations in a patient with retropharyngeal cervical chordoma |
| title_sort | successful endotracheal intubation with trachway after failed fiber optic manipulations in a patient with retropharyngeal cervical chordoma |
| topic | Chordoma Fiber-optic intubation Retromolar intubation Trachway |
| url | http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=3;spage=174;epage=176;aulast=Chen |
| work_keys_str_mv | AT yitingchen successfulendotrachealintubationwithtrachwayafterfailedfiberopticmanipulationsinapatientwithretropharyngealcervicalchordoma AT chunningho successfulendotrachealintubationwithtrachwayafterfailedfiberopticmanipulationsinapatientwithretropharyngealcervicalchordoma AT kuochuanhung successfulendotrachealintubationwithtrachwayafterfailedfiberopticmanipulationsinapatientwithretropharyngealcervicalchordoma |