Anaesthetic Management of a Patient with a Mobile Pedunculated Oropharyngeal Mass
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 5
Abstract
ABSTRACT As an anaesthesiologist, who faces several challenges in the Operating Room (OR), difficult intubation seems to be the most arduous. Anticipated difficult intubation if not planned well can be both cumbersome and disastrous. We describe the successful management of a case of anticipated difficult intubation due to a rare oropharyngeal mass, which was mobile and moved with respiration, arising from the left lateral wall of oropharynx. We used the technique of awake Fibreoptic Intubation (FOI) for intubating the trachea with dexmedetomidine infusion for sedation. Clinical findings and radiological imaging was used for assessment of difficult airway. Managing a case of difficult airway is highly individualised and meticulous planning is required in anticipated cases. A difficult airway complicates up to one tenths of cases of elective general anaesthesia. Such situations can be anticipated and tackled by fibreoptic flexible bronchoscopy assisted tracheal intubation.
Authors and Affiliations
Julie C R Misquith, Karl Nicholas SA Ribeiro
Keywords
Related Articles
- EP ID EP524094
- DOI 10.7860/JCDR/2018/35582.11517
- Views 48
- Downloads 0
Validity and Usefulness of Revised WHO Guidelines in Children with Dengue Fever
ABSTRACT Introduction: Dengue fever is the most rapidly spreading mosquito borne viral infection with a 30-fold increase in the disease burden over last five decades with a variable clinical course and outcome. The World...
Altmetrics – A Collated Adjunct Beyond Citations for Scholarly Impact: A Systematic Review
Introduction: In emerging figures, scholars are unifying social media tools like blogs, Twitter, and Mendeley into their professional communications. The online, open nature of these tools reveals the scholarly action to...
Effect of High Fibre, Low Calorie Balanced Diet in Obese Women with Hirsutism: A Randomised Clinical Trail
ABSTRACT Introduction: Hirsutism is both an endocrine and cosmetic problem therefore, it becomes necessary for investigations to be carried out to determine the probability of an underlying disease, its effect on sexual...
Spectrum of Parasitic Infections in Patients with Diarrhoea Attending a Tertiary Care Hospital in Western Rajasthan, India
Introduction: Owing to the poor socioeconomic conditions and lack of sanitary hygiene, a large number of population in developing countries remain under constant threat of different parasitic infections causing severe mo...
Congenital Lobar Emphysema: Anaesthetic Challenges and Review of Literature
Congenital Lobar Emphysema (CLE) is a developmental anomaly, characterized by hyperinflation of one or more pulmonary lobes. It presents in infancy with variable degree of respiratory distress due to compression atelecta...