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CASE REPORT
Year : 2021  |  Volume : 4  |  Issue : 2  |  Page : 104-107

Misleading endoscopic airway images – Who does the examination matters!!!


Department of Anaesthesiology and Pain Medicine, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Gautham Ganesan
A301, Newry Celio, Poonamallee Avadi High Road, Paruthipattu, Chennai - 600 071, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/arwy.arwy_16_21

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We report a 38-year-old female, post-oesophagectomy with transposed colon, presenting with dysphagia for oesophageal dilatation. General anaesthesia was requested for as the patient did not tolerate previous dilatation attempts under local anaesthesia. Endoscopic images provided by the otorhinolaryngologists and gastroenterologists showed a good view of the glottis, suggesting a possible easy intubation. But direct laryngoscopy after sedation and airway topicalisation revealed an airway with extensive adhesions that would have been impossible to intubate. The patient was awakened and planned for the procedure after tracheostomy. Endoscopic images done by non-anaesthesiologists should be interpreted with caution.


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