"Choledochoscope" as an Important Addition in Difficult Airway Management: A Case Report.


Journal

A&A practice
ISSN: 2575-3126
Titre abrégé: A A Pract
Pays: United States
ID NLM: 101714112

Informations de publication

Date de publication:
01 Mar 2020
Historique:
pubmed: 27 12 2019
medline: 22 10 2020
entrez: 27 12 2019
Statut: ppublish

Résumé

The choledochoscope is an additional tool to manage a difficult airway. We successfully used it for the first time for awake nasal intubation in a patient with no mouth opening resulting from bilateral temporomandibular ankylosis. The visual appearance of the airway structures was not compromised. However, the shorter length and larger diameter of the choledochoscope in comparison with the fiberoptic bronchoscope are crucial limiting factors of this method. We, therefore, suggest considering a choledochoscope for intubation in patients with difficult airway as a second-line alternative when a fiberoptic bronchoscope is not available.

Identifiants

pubmed: 31876560
doi: 10.1213/XAA.0000000000001163
pii: 02054229-202003010-00003
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

134-136

Références

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Sleth JC, Coulouma R. [Flexible choledoscope: an alternative to the fiber optic bronchoscope in difficult intubation]. Ann Fr Anesth Reanim. 1994;13:910.
Guzman JL. Use of a short flexible fiberoptic endoscope for difficult intubations. Anesthesiology. 1997;87:1563–1564.
Machi H, Karata H, Yamane Y, Fukuoka J, Funakoshi Y, Moriuchi H. A neonatal case of glial choristoma of the tongue causing airway obstruction. Case Rep Otolaryngol. 2017;2017:2413035.
Garg N, Sindwani G, Suri A, Shamim R, Pandey CK. Flexible gastroendoscope as a rescue device for an anaesthetist. J Clin Anesth. 2018;45:73–74.
Marhatta MN, Acharya SP. Blind nasal intubation in a child with ankylosis of temporomandibular joint. Nepal Med Coll J. 2008;10:271–274.
Dhara SS. Retrograde tracheal intubation. Anaesthesia. 2009;64:1094–1104.
El Solh AA, Jaafar W. A comparative study of the complications of surgical tracheostomy in morbidly obese critically ill patients. Crit Care. 2007;11:R3.

Auteurs

Anjali Poudel (A)

From the Department of Anesthesiology and Critical Care.

Krishna Pokharel (K)

From the Department of Anesthesiology and Critical Care.

Mehul Rajesh Jaisani (MR)

Department of Oral and Maxillofacial Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.

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