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 85
- Downloads 0
Antithyroid Antibodies and Fertility Outcome in Euthyroid Women Undergoing In Vitro Fertilisation
ABSTRACT Introduction: Antithyroid Antibodies (ATA) are suspected to cause poor outcome of In Vitro Fertilisation (IVF) even in the absence of thyroid dysfunction. Aim: To study the effect of ATA on fertilisation rate, i...
Sonographic Estimation of Umbilical Cord Cross-section Area and its Reference Value in Normal Pregnancy
Introduction: The routine antenatal sonographic investigations of the umbilical cord are limited for assessment of number of umbilical vessels and doppler evaluation of umbilical blood flow. With the advancements of the...
Cheyne Stokes Breathing in a Case of Tubercular Meningitis with Hydrocephalus
Images in Medicine
Effectiveness of Diclofenac Plus Paracetamol for Postoperative Pain Control after Caesarean Delivery: A Randomised Controlled Trial
ABSTRACT Introduction: Caesarean delivery is one of the commonest operations. Postoperative pain control is important for a good pregnancy experience. Although, diclofenac and paracetamol are commonly used; data about th...
Advanced Stage Lung Cancer: Persisting Challenges in the Era of Molecular Targeted Therapy-Our Experience
ABSTRACT Introduction: Lung cancer is the pioneer among all the cancers and also the leading cause of cancer related mortality worldwide. In India unlike in western countries most patients are diagnosed at advanced stage...