"Can't Intubate Can't Oxygenate" Situation in an Elective Patient in Suspected Sarcoidosis: A Case Report.
3rd generation laryngeal mask
CICO
curare
difficult airway ventilation
microlaryngeal tube
Journal
European journal of case reports in internal medicine
ISSN: 2284-2594
Titre abrégé: Eur J Case Rep Intern Med
Pays: Italy
ID NLM: 101648453
Informations de publication
Date de publication:
2023
2023
Historique:
received:
31
08
2023
accepted:
04
09
2023
medline:
3
11
2023
pubmed:
3
11
2023
entrez:
3
11
2023
Statut:
epublish
Résumé
Anaesthetists and pulmonologists are well trained to follow the "can't intubate, can't oxygenate" (CICO) protocol but the procedure is rarely practised. This case report concerns an elective patient scheduled for endobronchial ultrasound bronchoscopy (EBUS) because of suspected sarcoidosis. Based on known medical history, anaesthesia for EBUS procedure was initiated with a laryngeal mask. The airway turned out to be difficult and the patient was not ventilable despite several efforts including curarization and orotracheal intubation. Rapid desaturation imposed to apply the CICO protocol with emergency cricothyroidotomy as extreme measure but also failed. 6-handed face mask ventilation was continued. Eventually, introduction of a microlaryngeal tube of the 3 The CICO protocol was effective to manage an unanticipated difficult airway. The patient was resuscitated with the use of a microlaryngeal endotracheal tube of the 3
Identifiants
pubmed: 37920228
doi: 10.12890/2023_004088
pii: 4088
pmc: PMC10619535
doi:
Types de publication
Journal Article
Langues
eng
Pagination
004088Informations de copyright
© EFIM 2023.
Déclaration de conflit d'intérêts
Conflicts of Interests: The Authors declare that there are no competing interests.
Références
Rev Mal Respir. 2010;27(1):37-41
pubmed: 20146950
Anaesthesia. 2020 Apr;75(4):509-528
pubmed: 31729018
Swiss Med Wkly. 2022 Sep 26;152:w30225
pubmed: 36201205
Acta Anaesthesiol Scand. 2019 Oct;63(9):1178-1183
pubmed: 31359434
Anaesthesia. 2018 Feb;73(2):255
pubmed: 29333708
Anesthesiology. 2022 Jan 1;136(1):31-81
pubmed: 34762729
Br J Anaesth. 2018 Feb;120(2):323-352
pubmed: 29406182