What is missing for difficult airway management in the 21st century

Tanaka, Pedro Paulo; Pessoa, Rafaela; Fernandes, Raphaella; Brodsky, Jay B.

doi:10.1016/j.bjane.2013.11.008

Cited by 1 publication

(1 citation statement)

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“…Failures in tracheal intubation caused by difficult airways frequently result in lethal anesthesia-related complications [ 1 ]. It has been reported that many anesthesia-related deaths are attributed to improper handling of a difficult airway [ 2 ]. The airway structures in patients with laryngeal carcinoma undergo considerable change after surgery, and various lesions may ensue, including granulomas, tracheomalacia, and esophagotracheal fistula, among others [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

Three-dimensional printing as an aid to airway evaluation after tracheotomy in a patient with laryngeal carcinoma

et al. 2015

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BackgroundDifficult airway may result in significant morbidity and mortality. Proficient airway evaluation, therefore, is one of the key elements in the safe conduct of anesthesia. A three-dimensional (3D) printing model was recently introduced for medical application. 3D printing is a fast, convenient, and relatively affordable technique. We present a case in which a 3D-printed airway model was successfully used for airway evaluation.Case presentationA 77-year-old man who had previously undergone total laryngectomy was scheduled for resection of a pelvic mass. The condition of his airway, however, complicated the procedure. Routine methods to evaluate his airway were not suitable. Therefore, the patient’s computed tomography imaging data were used to generate stereolithography files and then to print out 3D models of his trachea. These 3D models enhanced our understanding of his tracheal morphology. They helped us devise a preanesthesia plan and effectively execute it without complications.Conclusion3D printing models allow better understanding of morphological changes in the airway and aid preanesthesia planning. The successful outcome of our case suggests 3D printing is a potent tool for evaluating difficult and more widespread use is encouraged.

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Section: Introductionmentioning

confidence: 99%