[Use of a rigid laryngoscope and a flexible nasal fiberoptic scope to assess the difficult airway: description of 3 cases]. / Utilización del laringoscopio rígido y el nasofibroscopio flexible en la valoración de la vía aérea difícil: descripción de 3 casos.
Rev Esp Anestesiol Reanim
; 57(2): 91-4, 2010 Feb.
Article
em Es
| MEDLINE
| ID: mdl-20337000
ABSTRACT
Indirect inspection of the airway using a 70 degrees rigid laryngoscope plus a flexible nasal fiberoptic scope can provide additional information when the anesthesiologist foresees that airway management will be difficult. These devices are useful for detecting structural abnormalities, they can be attached to the same visualization system, and they do not require topical anesthesia or sedation of the patient. We report on 3 patients diagnosed with difficult airway. Inspection with a rigid laryngoscope during the preanesthetic assessment visit revealed abnormalities that prevented visualization of the glottis. In the first case, the epiglottis was absent, as it had been removed with a surrounding tumor; in the second and third cases, an epiglottic deformity and hypertrophy of the base of the tongue were found. A flexible nasal fiberoptic scope gave an unobstructed view of the glottis in these cases, making it easier to choose an intubation method.
Buscar no Google
Temas:
ECOS
/
Aspectos_gerais
Bases de dados:
MEDLINE
Assunto principal:
Otolaringologia
/
Cuidados Pré-Operatórios
/
Laringoscópios
/
Obstrução das Vias Respiratórias
/
Tecnologia de Fibra Óptica
Tipo de estudo:
Etiology_studies
/
Evaluation_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Es
Revista:
Rev Esp Anestesiol Reanim
Ano de publicação:
2010
Tipo de documento:
Article