Successful airway management with combined use of a McGRATHTM MAC videolaryngoscope and fiberoptic bronchoscope in a patient with congenital tracheal stenosis diagnosed in adulthood

Hasegawa, Shoko; Koda, Kenichiro; Uzawa, Masashi; Kimura, Haruka; Kimura, Rie; Kitamura, Takayuki

doi:10.1186/s40981-021-00452-w

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…Fortunately, no additional damage, such as bleeding, was found in the postoperative neck CT results. However, if fiberoptic bronchoscopy-assisted intubation had been conducted as described by Hasegawa et al [ 15 ], it would have been possible to confirm tracheal stenosis as well as perform atraumatic intubation in situations where surgery could not be postponed.…”

Section: Discussionmentioning

confidence: 99%

Management of unanticipated difficult airway in a patient with well-visualized vocal cords using video laryngoscopy - A case report -

Cho

Lee

2023

Anesth Pain Med

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Background: Difficult airway occurs due to anatomical abnormalities of the airway that can be predicted through airway assessments; however, abnormalities beyond the vocal cord can be clinically asymptomatic and undetected until intubation failure to advance the endotracheal tube.Case: We present a case of an unanticipated difficult airway in a stuporous 80-year-old female with a recent history of intracerebral hemorrhage and prolonged intubation. She required emergency ventriculo-peritoneal shunt surgery due to the progression of her hydrocephalus. Under anesthesia, facemask ventilation was easy and video laryngoscopy provided a full view of the glottis; however, endotracheal tube (ETT) entry failed. We suspected stenosis beyond the vocal cord, and a smaller diameter ETT was inserted and maintained for airway management during emergency surgery. Postoperative neck computed tomography findings revealed laryngotracheal stenosis (LTS).Conclusions: Anesthesiologists should be aware that LTS may be asymptomatic and consider difficult airway guidelines in patients with history of prolonged endotracheal intubation.

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Section: Discussionmentioning

confidence: 99%

Management of unanticipated difficult airway in a patient with well-visualized vocal cords using video laryngoscopy - A case report -

Cho

Lee

2023

Anesth Pain Med

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“…The idea of using laryngoscopy to facilitate other airway management tools (e.g., to achieve a better glottis visualization) is not new. In numerous reports, either DL or VL has been used to assist fiberoptic bronchoscopy (FOB) in various clinical scenarios [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 ]. DL was also reported in combination with the fiberoptic stylet to assist in clinical and simulated difficult airway cases [ 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 ].…”

Section: Introductionmentioning

confidence: 99%

Video-Twin Technique for Airway Management, Combining Video-Intubating Stylet with Videolaryngoscope: A Case Series Report and Review of the Literature

Jhuang

Luk

et al. 2022

Healthcare

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Direct laryngoscopy (DL) and videolaryngoscopy (VL) have been the most commonly used airway management modalities in the last several decades. Meanwhile, various optional airway tools (e.g., supraglottic devices, fiberoptic bronchoscopes) have been used for alternative rescue modalities when anticipated or unexpected difficulties in airway management has occurred. In recent decades, optical stylets and video-assisted intubating stylets have become another option for difficult airway scenarios. In contrast to other approaches, we have adopted the Shikani video-assisted intubating stylet technique (VS) for both routine and difficult airway management scenarios. In this case series report, we present the video-twin technique, combining a videolaryngoscope with a video-assisted intubating stylet in various clinical case scenarios. We propose that such a combination is easy to learn and employ and is particularly beneficial in situations where an expected difficult airway (EDA) is encountered.

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Successful airway management with combined use of a McGRATHTM MAC videolaryngoscope and fiberoptic bronchoscope in a patient with congenital tracheal stenosis diagnosed in adulthood

Cited by 2 publications

References 15 publications

Management of unanticipated difficult airway in a patient with well-visualized vocal cords using video laryngoscopy - A case report -

Management of unanticipated difficult airway in a patient with well-visualized vocal cords using video laryngoscopy - A case report -

Video-Twin Technique for Airway Management, Combining Video-Intubating Stylet with Videolaryngoscope: A Case Series Report and Review of the Literature

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