Rapid sequence tandem intubation to navigate a subglottic obstruction.
Am J Emerg Med
; 67: 196.e3-196.e5, 2023 05.
Article
en En
| MEDLINE
| ID: mdl-36964112
ABSTRACT
Emergency airway management requires matching the appropriate intubation tools to anticipated obstacles. Video laryngoscopy and flexible endoscopy are often used for difficult airways. Here we describe a case where neither method alone was anticipated to be sufficient. A 53-year-old female with an obstructing lung mass required intubation for a mixed type 1 and 2 respiratory failure. Chest x-ray revealed a tortuous subglottic obstruction. The patient could not be temporized on maximized non-invasive airway support. These factors made tandem intubation, sequentially using video laryngoscopy and flexible endoscopic intubation, an appropriate intubation strategy. In this case report we describe the rationale and technique for a rapid sequence tandem intubation.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Laringoscopios
/
Intubación Intratraqueal
Límite:
Female
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Humans
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Middle aged
Idioma:
En
Revista:
Am J Emerg Med
Año:
2023
Tipo del documento:
Article