Anaesthetic Management of Pyelolithotomy Patient with Restricted Mouth Opening due to Previous Mandibular Surgery- A Case Report
Anaesthetic management of a patient with compromised kidney function, who had restricted mouth opening due to previous surgery for mandibular fracture requiring general anaesthesia, is a challenge for anaesthesiologists. This is a case report of a 45-year-old male patient with renal calculus who und...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2023-06-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/18068/60004_CE[Ra1]_F(SHU)_PF1(HJ_VI)_(KR)_PFA(HJ_KM)_PN(KM).pdf |
| _version_ | 1797797833165766656 |
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| author | Kala Balasubramanian Bhagya Vardhan Botta |
| author_facet | Kala Balasubramanian Bhagya Vardhan Botta |
| author_sort | Kala Balasubramanian |
| collection | DOAJ |
| description | Anaesthetic management of a patient with compromised kidney function, who had restricted mouth opening due to previous surgery for mandibular fracture requiring general anaesthesia, is a challenge for anaesthesiologists. This is a case report of a 45-year-old male patient with renal calculus who underwent left pyelolithotomy surgery under general anaesthesia at our institution. He was admitted with left loin pain of two weeks' duration. Airway control was difficult due to limited mouth opening resulting from mandibular fracture four months prior, for which he underwent open reduction and internal fixation at a different hospital. We anticipated difficulty in securing the airway due to mandibular plate fixation. The airway was secured with orotracheal intubation using a levitan optical stylet under airway block. This case report highlights the importance of optical stylet in the plan B of managing a difficult airway, when a fiberoptic bronchoscope is not available in a critical situation. |
| first_indexed | 2024-03-13T03:54:21Z |
| format | Article |
| id | doaj.art-e5efafac64404bce97eb597281e033e9 |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-03-13T03:54:21Z |
| publishDate | 2023-06-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-e5efafac64404bce97eb597281e033e92023-06-22T08:32:18ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-06-01176UD01UD0210.7860/JCDR/2023/60004.18068Anaesthetic Management of Pyelolithotomy Patient with Restricted Mouth Opening due to Previous Mandibular Surgery- A Case ReportKala Balasubramanian0Bhagya Vardhan Botta1Professor, Department of Anesthesiology, Sree Balaji Medical College and Hospitals, Chennai, Tamil Nadu, India.Assistant Professor, Department of Anesthesiology, Sree Balaji Medical College and Hospitals, Chennai, Tamil Nadu, India.Anaesthetic management of a patient with compromised kidney function, who had restricted mouth opening due to previous surgery for mandibular fracture requiring general anaesthesia, is a challenge for anaesthesiologists. This is a case report of a 45-year-old male patient with renal calculus who underwent left pyelolithotomy surgery under general anaesthesia at our institution. He was admitted with left loin pain of two weeks' duration. Airway control was difficult due to limited mouth opening resulting from mandibular fracture four months prior, for which he underwent open reduction and internal fixation at a different hospital. We anticipated difficulty in securing the airway due to mandibular plate fixation. The airway was secured with orotracheal intubation using a levitan optical stylet under airway block. This case report highlights the importance of optical stylet in the plan B of managing a difficult airway, when a fiberoptic bronchoscope is not available in a critical situation.https://jcdr.net/articles/PDF/18068/60004_CE[Ra1]_F(SHU)_PF1(HJ_VI)_(KR)_PFA(HJ_KM)_PN(KM).pdfbody mass indexbronchoscopesintratrachealintubationoxygen saturation |
| spellingShingle | Kala Balasubramanian Bhagya Vardhan Botta Anaesthetic Management of Pyelolithotomy Patient with Restricted Mouth Opening due to Previous Mandibular Surgery- A Case Report Journal of Clinical and Diagnostic Research body mass index bronchoscopes intratracheal intubation oxygen saturation |
| title | Anaesthetic Management of Pyelolithotomy Patient with Restricted Mouth Opening due to Previous Mandibular Surgery- A Case Report |
| title_full | Anaesthetic Management of Pyelolithotomy Patient with Restricted Mouth Opening due to Previous Mandibular Surgery- A Case Report |
| title_fullStr | Anaesthetic Management of Pyelolithotomy Patient with Restricted Mouth Opening due to Previous Mandibular Surgery- A Case Report |
| title_full_unstemmed | Anaesthetic Management of Pyelolithotomy Patient with Restricted Mouth Opening due to Previous Mandibular Surgery- A Case Report |
| title_short | Anaesthetic Management of Pyelolithotomy Patient with Restricted Mouth Opening due to Previous Mandibular Surgery- A Case Report |
| title_sort | anaesthetic management of pyelolithotomy patient with restricted mouth opening due to previous mandibular surgery a case report |
| topic | body mass index bronchoscopes intratracheal intubation oxygen saturation |
| url | https://jcdr.net/articles/PDF/18068/60004_CE[Ra1]_F(SHU)_PF1(HJ_VI)_(KR)_PFA(HJ_KM)_PN(KM).pdf |
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