| CASE REPORT |
|
| Year : 2022 | Volume
: 5
| Issue : 1 | Page : 36-39 |
|
|
Videolaryngoscope-guided awake tracheal intubation in a patient with invasive medullary thyroid carcinoma causing subglottic airway obstruction
Ram Singh1, Madhusmita Baruah1, Brajesh Kumar Ratre2, Vinod Kumar2
1 Department of Onco-Anaesthesia and Palliative Medicine, NCI, AIIMS, New Delhi, India
2 Department of Onco-Anaesthesia and Palliative Medicine, Dr. BRAIRCH, AIIMS, New Delhi, India
Correspondence Address:
Dr. Ram Singh
Department of Onco-Anaesthesia and Palliative Medicine, NCI, AIIMS, Room No. 03, 1st Floor, Academic Block, NCI Jhajjar, AIIMS, New Delhi
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/arwy.arwy_50_21
|
|
|
Head-and-neck tumours are associated with a difficult airway due to the involvement of airway structures and infiltration into surrounding tissues. In clinical practice, awake tracheal intubation (ATI) is mainly performed with a fibreoptic bronchoscope. Videolaryngoscope-guided ATI has been proven to be equally effective in terms of patient comfort, safety profile and success rate. It also takes lesser time as compared to fibreoptic bronchoscopy provided adequate airway topicalisation is done and sedation carefully titrated with a suitable sedative. Formulating a good plan with team members, psychological preparation of the patient and choosing the right technique facilitated successful ATI in our patient with an anticipated difficult airway. |
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
