Anticipated Difficult Airway Management with Ambuscope in a Patient with Rhino-orbito-cerebral Mucormycosis
Management of a difficult airway can be a nightmare for even an experienced anaesthesiologist. Video laryngoscopes have been mentioned in the difficult airway cart as a requisite equipment according to 2016 All India difficult airway guidelines. Ambuscope is a recently introduced flexible videosco...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2021-11-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/15697/51666_CE[Ra1]_F(SHU)_PF1(JY_SS)_PFA(JY_KM)_PN(KM).pdf |
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| author | Michell Gulabani Vibhor Gupta Suman Choudhry Ashok Kumar Saxena |
| author_facet | Michell Gulabani Vibhor Gupta Suman Choudhry Ashok Kumar Saxena |
| author_sort | Michell Gulabani |
| collection | DOAJ |
| description | Management of a difficult airway can be a nightmare for even an experienced anaesthesiologist. Video laryngoscopes have been
mentioned in the difficult airway cart as a requisite equipment according to 2016 All India difficult airway guidelines. Ambuscope
is a recently introduced flexible videoscope which is portable, light weight and single use device. This was a case of 25-year-old
male who presented with loss of vision in both eyes and diffuse swelling of the face in the Ophthalmology Department. A diagnosis
of post Coronavirus Disease-19 (COVID-19), Rhino-orbito-cerebral mucormycosis was made. Further patient was scheduled for
emergency surgical debridement and bilateral orbital exentration under general anaesthesia. Airway assessment revealed mouth
opening of one finger, Mallampati (MPG) score of 4, thyromental distance of 4.5 cm and a receding mandible with normal neck flexion
and extension. Ambuscope™ 3 was employed for facilitating endotracheal intubation after anaesthesia induction. Ambuscope is a
useful aid in confirming the position of endotracheal tubes and tracheostomy tubes in the operating room and intensive care unit.
They are a disposable, convenient and practical alternative to fibreoptic bronchoscopes in patients of difficult airway. AmbuscopeTM
3 has tip movements with 150° up and 130° down. These unique features make this equipment user-friendly in anticipated and
unanticipated difficult airway scenarios. Flexible endoscopes have carved a niche for themselves in the armamentarium of the
anaesthesiologist airway cart to be equipped for any challenge. |
| first_indexed | 2024-12-22T00:25:45Z |
| format | Article |
| id | doaj.art-c6facc8a27524f74b1076c01d47d47ea |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-22T00:25:45Z |
| publishDate | 2021-11-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-c6facc8a27524f74b1076c01d47d47ea2022-12-21T18:45:03ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2021-11-011511UD01UD0210.7860/JCDR/2021/51666.15697Anticipated Difficult Airway Management with Ambuscope in a Patient with Rhino-orbito-cerebral MucormycosisMichell Gulabani0Vibhor Gupta1Suman Choudhry2Ashok Kumar Saxena3Assistant Professor, Department of Anaesthesia, University College of Medical Sciences/Guru Teg Bahadur Hospital, New Delhi, India.Assistant Professor, Department of Anaesthesia, University College of Medical Sciences/Guru Teg Bahadur Hospital, New Delhi, India.Senior Resident, Department of Anaesthesia, University College of Medical Sciences/Guru Teg Bahadur Hospital, New Delhi, India.Professor and Head, Department of Anaesthesia, University College of Medical Sciences/Guru Teg Bahadur Hospital, New Delhi, India.Management of a difficult airway can be a nightmare for even an experienced anaesthesiologist. Video laryngoscopes have been mentioned in the difficult airway cart as a requisite equipment according to 2016 All India difficult airway guidelines. Ambuscope is a recently introduced flexible videoscope which is portable, light weight and single use device. This was a case of 25-year-old male who presented with loss of vision in both eyes and diffuse swelling of the face in the Ophthalmology Department. A diagnosis of post Coronavirus Disease-19 (COVID-19), Rhino-orbito-cerebral mucormycosis was made. Further patient was scheduled for emergency surgical debridement and bilateral orbital exentration under general anaesthesia. Airway assessment revealed mouth opening of one finger, Mallampati (MPG) score of 4, thyromental distance of 4.5 cm and a receding mandible with normal neck flexion and extension. Ambuscope™ 3 was employed for facilitating endotracheal intubation after anaesthesia induction. Ambuscope is a useful aid in confirming the position of endotracheal tubes and tracheostomy tubes in the operating room and intensive care unit. They are a disposable, convenient and practical alternative to fibreoptic bronchoscopes in patients of difficult airway. AmbuscopeTM 3 has tip movements with 150° up and 130° down. These unique features make this equipment user-friendly in anticipated and unanticipated difficult airway scenarios. Flexible endoscopes have carved a niche for themselves in the armamentarium of the anaesthesiologist airway cart to be equipped for any challenge.https://jcdr.net/articles/PDF/15697/51666_CE[Ra1]_F(SHU)_PF1(JY_SS)_PFA(JY_KM)_PN(KM).pdfchallenging intubationemergency surgeryvideo laryngoscope |
| spellingShingle | Michell Gulabani Vibhor Gupta Suman Choudhry Ashok Kumar Saxena Anticipated Difficult Airway Management with Ambuscope in a Patient with Rhino-orbito-cerebral Mucormycosis Journal of Clinical and Diagnostic Research challenging intubation emergency surgery video laryngoscope |
| title | Anticipated Difficult Airway Management with Ambuscope in a Patient with Rhino-orbito-cerebral Mucormycosis |
| title_full | Anticipated Difficult Airway Management with Ambuscope in a Patient with Rhino-orbito-cerebral Mucormycosis |
| title_fullStr | Anticipated Difficult Airway Management with Ambuscope in a Patient with Rhino-orbito-cerebral Mucormycosis |
| title_full_unstemmed | Anticipated Difficult Airway Management with Ambuscope in a Patient with Rhino-orbito-cerebral Mucormycosis |
| title_short | Anticipated Difficult Airway Management with Ambuscope in a Patient with Rhino-orbito-cerebral Mucormycosis |
| title_sort | anticipated difficult airway management with ambuscope in a patient with rhino orbito cerebral mucormycosis |
| topic | challenging intubation emergency surgery video laryngoscope |
| url | https://jcdr.net/articles/PDF/15697/51666_CE[Ra1]_F(SHU)_PF1(JY_SS)_PFA(JY_KM)_PN(KM).pdf |
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