Salinas RJR, Granados BJ, Valderrábano LA, Kume M, Ramírez GA

Language: Spanish
References: 17
Page: 234-238
PDF size: 262.50 Kb.

ABSTRACT

Introduction: Patients undergoing upper airway surgical procedures constitute a high-risk group, with a high probability of respiratory complications. The American Society of Anesthesiology attempts to facilitate the likelihood of success and decrease risks through “difficult airway management guides”. Case report: A 68-year-old male patient with a vocal cord tumor diagnosis, programmed for resection of a tumor by microsurgery with laser, predictive index of difficult intubation 9 (high), intubation with videolaryngoscope Glidescope, airway obstruction of 90%, is placed endotracheal tube without complications, without injury or bleeding of the tumor mass. Conclusions: The use of Glidescope assisted video intubation equipment gives us a panoramic view of the glottis and this significantly facilitates difficult airway management.

REFERENCES

1. Fasting S, Gisvold SE. Serious intraoperative problems —a five-year review of 83,844 anesthetics—. Can J Anaesth. 2002; 49 (6): 545-553.

2. Cattano D, Killoran PV, Iannucci D, Maddukuri V, Altamirano AV, Sridhar S et al. Anticipation of the difficult airway: preoperative airway assessment, an educational and quality improvement tool. Br J Anaesth. 2013; 111 (2): 276-285.

3. Grünberg G, Bounous A, Prestes I, Amonte G, Illescas L, Ferreira E et al. Evaluación de los métodos predictores de vía aérea dificultosa en pacientes coordinados para procedimientos endoscópicos de vía aérea superior. Anest Analg Reanim. 2006; 21 (1): 11-19.

4. American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology. 2003; 98 (5): 1269-1277.

5. Khan ZH, Mohammadi M, Rasouli MR, Farrokhnia F, Khan RH. The diagnostic value of the upper lip bite test combined with sternomental distance, thyromental distance, and interincisor distance for prediction of easy laryngoscopy and intubation: a prospective study. Anesth Analg. 2009; 109 (3): 822-824.

6. Wilson ME, Spiegelhalter D, Robertson JA, Lesser P. Predicting difficult intubation. Br J Anaesth. 1988; 61 (2): 211-216.

7. Massó E. Los retos de futuro de la vía aérea en anestesiología. Rev Esp Anestesiol Reanim. 2007; 54: 137-139.

8. Lewis E, Zatman ST, Wilkes AR, Hall JE. Laryngoscope light output. Anaesthesia. 2009; 64 (6): 688-689.

9. Rai MR, Dering A, Verghese C. The Glidescope system: a clinical assessment of performance. Anaesthesia. 2005; 60 (1): 60-64.

10. Bruce RC, McLeod AD, Smith GB. A survey of UK anaesthetic trainee attitudes towards simulator based training experience. Bulletin of the Royal College of Anaesthetists. 2005; 34: 1722-1723.

11. Chang HC, Vásquez YG, Maneiro BJ. Métodos predictivos para una intubación orotraqueal difícil en una población de pacientes del Hospital “Dr. Miguel Pérez Carreño”. Rev Ven Anest. 1998; 3: 52-58.

12. Guzmán OJ. Videolaringoscopios. Rev Chil Anest. 2009; 38 (2): 135-144.

13. Jones PM, Turkstra TP, Armstrong KP, Armstrong PM, Cherry RA, Hoogstra J et al. Effect of stylet angulation and endotracheal tube camber on time to intubation with the GlideScope. Can J Anaesth. 2007; 54 (1): 21-27.

14. Griesdale DE, Liu D, McKinney J, Choi PT. Glidescope® video-laryngoscopy versus direct laryngoscopy for endotracheal intubation: a systematic review and meta-analysis. Can J Anaesth. 2012; 59 (1): 41-52.

15. Cooper RM, Pacey JA, Bishop MJ, McCluskey SA. Early clinical experience with a new videolaryngoscope (GlideScope) in 728 patients. Can J Anaesth. 2005; 52 (2): 191-198.

16. Mathienson E, JooH, Naik V et al. Learning curve for intubations with the glidescope. Can J Anaesth. 2007; 54: S1.

17. Cooper RM. Complications associated with the use of the GlideScope videolaryngoscope. Can J Anaesth. 2007; 54 (1): 54-57.