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 70
- Downloads 0
Insulinoma: A Diagnostic Challenge!
ABSTRACT Insulinoma is a common tumour arising from islets of Langerhans. Patients with insulinomas present with neuroglycopenic symptoms such as repeated episodes of headache, blurred vision, diplopia and lethargy espec...
Dasatinib Induced Cardiac TamponadeA Rare Association
Drug induced cardiac tamponade is rare. Therapy for imatinib resistant Chronic Myeloid Leukaemia (CML) is an emerging challenge in clinical haematology. For such cases treatment with second line tyrosine kinase inhibitor...
Palmer Freckling as a New Clinical Marker: Clinico-epidemiological Study of 26 Cases of Neurofibromatosis Type-1
ABSTRACT Introduction: Neurofibromatosis Type 1 (NF-1) is an autosomal dominant genodermatosis characterised by Café Au lait Macules (CALMs), multiple neurofibromas, iris Lisch nodules, axillary and inguinal freckling an...
Prevalence of Conventional Risk Factors and Evaluation of Baseline Indices Among Young and Elderly Patients with Coronary Artery Disease
Introduction: Coronary Artery Disease (CAD) is a leading cause of morbidity and mortality worldwide, manifesting in a variety of clinical spectrums such as an asymptomatic disease or acute coronary syndrome. It has becom...
Comparison of Lipid Profile in Normotensive Pregnant Women and Hypertensive Pregnant Women in the Third Trimester
Abstract Introduction: Toxemia in pregnancy or Pregnancy Induced Hypertension (PIH) is an idiopathic multisystem disorder specific to human pregnancy. It is a dangerous complication of pregnancy but phasic and is still o...