Airway management during anesthesia for stereotactic placement of intratumoral drug delivery system in a patient with anaplastic astrocytoma

George, Christina; Ramesh, VJ; Gangadharan, Jagath Lal; Konar, Subhash

doi:10.4103/0970-9185.92466

Cited by 1 publication

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References 2 publications

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“…[1,2] Primarily, the application of the stereotactic frame results in a difficult-to-access airway situation due to induced neck movement limitation and difficulty with the conduct of direct laryngoscopy. [3] We present an anticipated non-difficult airway whose management became problematic due to the presence of an in-position stereotactic frame. The difficulties with Intravenous ranitidine (50 mg), glycopyrrolate (0.2 mg), and fentanyl (2 mcg/kg) were administrated before induction of anaesthesia.…”

Section: Introductionmentioning

confidence: 99%

Iatrogenic neck mobility restriction due to stereotactic fixed-frame application: Implications of a ‘non-laryngoscopic’ airway management approach

Bhutani

Dutta

Ganguly

et al. 2017

Journal of Neuroanaesthesiology and Critical Care

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Stereotactic biopsy is a common minimal access neurosurgical procedure. It requires a stereotactic frame to be secured on the head, and thereafter, based on computerised tomography scan markings on the frame, precise biopsy is retrieved. For anaesthesiologists, the application of frame poses difficulty in accessing the upper airway with the conventional laryngoscopy-intubation methodology. The various airway-access limitations imposed by an ‘in-place’ frame can be problematic and should be addressed. This report elucidates the problems caused by the presence of stereotactic frame in the management of upper airway. The approach to upper airway can be variable on a case-to-case basis, depending on attending anaesthesiologists’ decision-making and availability of equipments/devices. Here, the, recommendations on the problematic points and the suggested way thereof are presented.

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Section: Introductionmentioning

confidence: 99%