Laryngeal mass induced severe ventilatory impairment during induction of anesthesia
A 77-year-old man with laryngeal cancer was scheduled for total laryngectomy and lymph node dissection surgery under general anesthesia. The patient did not present with airway obstruction signs, including dyspnea or wheezing sounds during spontaneous respiration, and the laryngeal opening could be...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Saudi Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.saudija.org/article.asp?issn=1658-354X;year=2022;volume=16;issue=1;spage=117;epage=119;aulast=Kim |
| _version_ | 1798022135709433856 |
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| author | Jeongeun Kim Deok-Hee Lee |
| author_facet | Jeongeun Kim Deok-Hee Lee |
| author_sort | Jeongeun Kim |
| collection | DOAJ |
| description | A 77-year-old man with laryngeal cancer was scheduled for total laryngectomy and lymph node dissection surgery under general anesthesia. The patient did not present with airway obstruction signs, including dyspnea or wheezing sounds during spontaneous respiration, and the laryngeal opening could be easily identified on the fiberoptic bronchoscope examination preoperatively. Due to his poor cognition and cooperation, we decided not to try awake fiberoptic intubation. During the induction of general anesthesia, total airway obstruction occurred a few minutes after muscle relaxation. The patient could not be ventilated by mask ventilation; nevertheless, tracheal intubation using a conventional laryngoscope was performed without difficulty. It turned out that even a laryngeal mass that does not cause obstructive symptoms, not large in size or totally blocking the airway, can cause difficulty in mask ventilation. |
| first_indexed | 2024-04-11T17:24:53Z |
| format | Article |
| id | doaj.art-c1823725088842e085df751664fdcad8 |
| institution | Directory Open Access Journal |
| issn | 1658-354X |
| language | English |
| last_indexed | 2024-04-11T17:24:53Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj.art-c1823725088842e085df751664fdcad82022-12-22T04:12:23ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2022-01-0116111711910.4103/sja.sja_601_21Laryngeal mass induced severe ventilatory impairment during induction of anesthesiaJeongeun KimDeok-Hee LeeA 77-year-old man with laryngeal cancer was scheduled for total laryngectomy and lymph node dissection surgery under general anesthesia. The patient did not present with airway obstruction signs, including dyspnea or wheezing sounds during spontaneous respiration, and the laryngeal opening could be easily identified on the fiberoptic bronchoscope examination preoperatively. Due to his poor cognition and cooperation, we decided not to try awake fiberoptic intubation. During the induction of general anesthesia, total airway obstruction occurred a few minutes after muscle relaxation. The patient could not be ventilated by mask ventilation; nevertheless, tracheal intubation using a conventional laryngoscope was performed without difficulty. It turned out that even a laryngeal mass that does not cause obstructive symptoms, not large in size or totally blocking the airway, can cause difficulty in mask ventilation.http://www.saudija.org/article.asp?issn=1658-354X;year=2022;volume=16;issue=1;spage=117;epage=119;aulast=Kimairway obstructionlaryngeal cancermask ventilation |
| spellingShingle | Jeongeun Kim Deok-Hee Lee Laryngeal mass induced severe ventilatory impairment during induction of anesthesia Saudi Journal of Anaesthesia airway obstruction laryngeal cancer mask ventilation |
| title | Laryngeal mass induced severe ventilatory impairment during induction of anesthesia |
| title_full | Laryngeal mass induced severe ventilatory impairment during induction of anesthesia |
| title_fullStr | Laryngeal mass induced severe ventilatory impairment during induction of anesthesia |
| title_full_unstemmed | Laryngeal mass induced severe ventilatory impairment during induction of anesthesia |
| title_short | Laryngeal mass induced severe ventilatory impairment during induction of anesthesia |
| title_sort | laryngeal mass induced severe ventilatory impairment during induction of anesthesia |
| topic | airway obstruction laryngeal cancer mask ventilation |
| url | http://www.saudija.org/article.asp?issn=1658-354X;year=2022;volume=16;issue=1;spage=117;epage=119;aulast=Kim |
| work_keys_str_mv | AT jeongeunkim laryngealmassinducedsevereventilatoryimpairmentduringinductionofanesthesia AT deokheelee laryngealmassinducedsevereventilatoryimpairmentduringinductionofanesthesia |