Document Detail


A rapidly enlarging neck mass: the role of the sitting position in fiberoptic bronchoscopy for difficult intubation.
MedLine Citation:
PMID:  18931222     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Difficult airway management is a dilemma for any anesthesiologist. Although practice guidelines and algorithms may help in such situations, the anesthesiologist's judgment and vigilance remain the primary means to save lives. In the following case, we encountered an acutely enlarging thyroid mass that was compromising the airway. This huge neck mass precluded tracheostomy under local anesthesia, and the patient could breathe only in the sitting position. Therefore, there were few safe strategies for airway management for general anesthesia. We reiterate the role of awake fiberoptic intubation in such circumstances.
Authors:
Ali Dabbagh; Naseraddin Mobasseri; Hedayatollah Elyasi; Babak Gharaei; Mohammadreza Fathololumi; Mahshid Ghasemi; Iman Bandarchi Chamkhale
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anesthesia and analgesia     Volume:  107     ISSN:  1526-7598     ISO Abbreviation:  Anesth. Analg.     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-10-20     Completed Date:  2008-11-18     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  1310650     Medline TA:  Anesth Analg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1627-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Anesthesiology and Anesthesia Research Center, Shahid Beheshti University, M.C. Tehran, Iran. alidabbagh@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adenocarcinoma, Follicular / diagnosis*,  pathology,  surgery
Adult
Bronchoscopy / methods*,  standards*
Disease Progression
Equipment Design
Female
Fiber Optic Technology / methods,  standards
Humans
Intubation / methods*,  standards
Neck / anatomy & histology*
Posture*
Supine Position
Thyroid Neoplasms / diagnosis*,  pathology,  surgery
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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