| Magnetic resonance scanning of the upper airway following difficult intubation reveals an unexpected lingual tonsil. | |
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MedLine Citation:
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PMID: 19400497 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We present a case of a 40-year-old woman requiring elective surgery who had an unexpected Grade 4 Cormack and Lehane laryngoscopy view. Both curved and straight laryngoscope blades in the sniffing and hyperextended head and neck positions were used. Endotracheal intubation was accomplished with some difficulty using a No. 3 Macintosh blade and Frova intubating catheter in the sniffing position. The cause of the difficult laryngoscopy was a lingual tonsil as shown in postoperative magnetic resonance scans. We feel that a comprehensive postoperative evaluation should be conducted after every difficult laryngoscopy (Cormack and Lehane Grade 3b and 4). The use of magnetic resonance imaging may provide important objective information for both the anaesthetist and the patient, allowing a better understanding of causes and possible solutions for future airway management. |
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Authors:
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K B Greenland; P H V Cumpston; J Huang |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Anaesthesia and intensive care Volume: 37 ISSN: 0310-057X ISO Abbreviation: Anaesth Intensive Care Publication Date: 2009 Mar |
Date Detail:
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Created Date: 2009-04-29 Completed Date: 2009-05-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0342017 Medline TA: Anaesth Intensive Care Country: Australia |
Other Details:
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Languages: eng Pagination: 301-4 Citation Subset: IM |
Affiliation:
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Department of Anaesthesia and Perioperative Medicine, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Humans Hypertrophy Intubation, Intratracheal* Magnetic Resonance Imaging / methods* Palatine Tonsil / pathology* |
| Comments/Corrections | |
Comment In:
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Anaesth Intensive Care. 2009 Mar;37(2):171-4
[PMID:
19400481
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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