Laryngeal Chondrosarcoma: Successful Use of Video Laryngoscope in Anticipated Difficult Airway Management
Laryngeal chondrosarcoma is a rare mesenchymal tumor, most frequently affecting cricoid cartilage. The objective of this report is to present successful video laryngoscope usage in a patient with anticipated difficult airway who refused awake fiberoptic endotracheal intubation (AFOI). A 59-year-old...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Sestre Milosrdnice University hospital, Institute of Clinical Medical Research
2016-01-01
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| Series: | Acta Clinica Croatica |
| Subjects: | |
| Online Access: | https://hrcak.srce.hr/file/228593 |
| _version_ | 1797208052798062592 |
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| author | Vladimir Dolinaj Sanja Milošev Dušanka Janjević |
| author_facet | Vladimir Dolinaj Sanja Milošev Dušanka Janjević |
| author_sort | Vladimir Dolinaj |
| collection | DOAJ |
| description | Laryngeal chondrosarcoma is a rare mesenchymal tumor, most frequently affecting cricoid cartilage. The objective of this report is to present successful video laryngoscope usage in a patient with anticipated difficult airway who refused awake fiberoptic endotracheal intubation (AFOI). A 59-year-old male patient was admitted in our hospital due to difficulty breathing and swallowing. On clinical examination performed by ENT surgeon, preoperative endoscopic airway examination (PEAE) could not be performed properly due to the patient’s uncooperativeness. Computed tomography revealed a spherical tumor that obstructed the subglottic area almost entirely. Due to the narrowed airway, the first choice for the anticipated difficult airway management was AFOI, which the patient refused. Consequently, we decided to perform endotracheal intubation with indirect laryngoscope using a C-MAC video laryngoscope (Karl Storz, Tuttlingen, Germany). Reinforced endotracheal tube (6.0 mm internal diameter) was placed gently between the tumor mass and the posterior wall of the trachea in the first attempt. Confirmation of endotracheal intubation was done by capnography. In a patient with subglottic area chondrosarcoma refusing PEAE and AFOI, video laryngoscope is a particularly helpful device for difficult airway management when difficult airway is anticipated. |
| first_indexed | 2024-04-24T09:32:41Z |
| format | Article |
| id | doaj.art-f5b7dd6f6e1c4a978cafbbf7c6bfba2f |
| institution | Directory Open Access Journal |
| issn | 0353-9466 1333-9451 |
| language | English |
| last_indexed | 2024-04-24T09:32:41Z |
| publishDate | 2016-01-01 |
| publisher | Sestre Milosrdnice University hospital, Institute of Clinical Medical Research |
| record_format | Article |
| series | Acta Clinica Croatica |
| spelling | doaj.art-f5b7dd6f6e1c4a978cafbbf7c6bfba2f2024-04-15T13:48:09ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512016-01-0155.Supplement 110811110.20471/acc.2016.55.s1.17Laryngeal Chondrosarcoma: Successful Use of Video Laryngoscope in Anticipated Difficult Airway ManagementVladimir Dolinaj0Sanja Milošev1Dušanka Janjević2Department of Anesthesiology, University Department of ENT, Clinical Centre of Vojvodina, Novi Sad, SerbiaDepartment of Anesthesiology, University Department of ENT, Clinical Centre of Vojvodina, Novi Sad, SerbiaDepartment of Anesthesiology, University Department of ENT, Clinical Centre of Vojvodina, Novi Sad, SerbiaLaryngeal chondrosarcoma is a rare mesenchymal tumor, most frequently affecting cricoid cartilage. The objective of this report is to present successful video laryngoscope usage in a patient with anticipated difficult airway who refused awake fiberoptic endotracheal intubation (AFOI). A 59-year-old male patient was admitted in our hospital due to difficulty breathing and swallowing. On clinical examination performed by ENT surgeon, preoperative endoscopic airway examination (PEAE) could not be performed properly due to the patient’s uncooperativeness. Computed tomography revealed a spherical tumor that obstructed the subglottic area almost entirely. Due to the narrowed airway, the first choice for the anticipated difficult airway management was AFOI, which the patient refused. Consequently, we decided to perform endotracheal intubation with indirect laryngoscope using a C-MAC video laryngoscope (Karl Storz, Tuttlingen, Germany). Reinforced endotracheal tube (6.0 mm internal diameter) was placed gently between the tumor mass and the posterior wall of the trachea in the first attempt. Confirmation of endotracheal intubation was done by capnography. In a patient with subglottic area chondrosarcoma refusing PEAE and AFOI, video laryngoscope is a particularly helpful device for difficult airway management when difficult airway is anticipated.https://hrcak.srce.hr/file/228593Chondrosarcoma – SurgeryLaryngeal Neoplasms – SurgeryAirway ManagementLaryngoscopesVideorecordingCase Reports |
| spellingShingle | Vladimir Dolinaj Sanja Milošev Dušanka Janjević Laryngeal Chondrosarcoma: Successful Use of Video Laryngoscope in Anticipated Difficult Airway Management Acta Clinica Croatica Chondrosarcoma – Surgery Laryngeal Neoplasms – Surgery Airway Management Laryngoscopes Videorecording Case Reports |
| title | Laryngeal Chondrosarcoma: Successful Use of Video Laryngoscope in Anticipated Difficult Airway Management |
| title_full | Laryngeal Chondrosarcoma: Successful Use of Video Laryngoscope in Anticipated Difficult Airway Management |
| title_fullStr | Laryngeal Chondrosarcoma: Successful Use of Video Laryngoscope in Anticipated Difficult Airway Management |
| title_full_unstemmed | Laryngeal Chondrosarcoma: Successful Use of Video Laryngoscope in Anticipated Difficult Airway Management |
| title_short | Laryngeal Chondrosarcoma: Successful Use of Video Laryngoscope in Anticipated Difficult Airway Management |
| title_sort | laryngeal chondrosarcoma successful use of video laryngoscope in anticipated difficult airway management |
| topic | Chondrosarcoma – Surgery Laryngeal Neoplasms – Surgery Airway Management Laryngoscopes Videorecording Case Reports |
| url | https://hrcak.srce.hr/file/228593 |
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