Awake intubation with videolaryngoscopy and ultrasound-guided percutaneous tracheostomy in a patient with anaplastic thyroid cancer and difficult airway: a case report
Keywords:
Airway Management, Laryngoscopy, racheostomy, Case Reports, Anesthesia
Abstract
Introduction:
Difficult airway management is an important cause of morbidity and mortality, and the implementation of new techniques and devices has contributed to the reduction of complication rates.
Case presentation:
A 62-year-old woman with a large neck mass scheduled for palliative percutaneous tracheostomy in which awake intubation with videolaryngoscopy was performed successfully in the first attempt; additionally, it was necessary to perform percutaneous tracheostomy under ultrasound guidance because of the significant degree of anatomical distortion of her neck.
Conclusion:
There is little evidence about awake intubation with videolaryngoscope in patients with neck masses, which makes our case interesting. Ultrasonography should be immediately available in difficult airway cases, because it facilitates the identification of structures and helps guide percutaneous access in real time.
References
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2. Martin LD, Mhyre JM, Shanks AM, et al. 3,423 Emergency tracheal intubations at a university hospital: airway outcomes and complications. Anesthesiology 2011; 114:42-48.
3. Norskov AK, Rosenstock CV, Wetterslev J, et al. Diagnostic accuracy of anaesthesiologists’ prediction of difficult airway management in daily clinical practice: a cohort study of 188.064 patients registered in the Danish Anaesthesia Database. Anaesthesia 2015; 70:272-281.
4. Aschebrook-Kilfoy B, Ward MH, Sabra MM, et al. Thyroid cancer incidence patterns in the United States by histologic type, 19922006. Thyroid 2011; 21:125-134.
5. Rojas MF, Bonilla AJ. Ultrasonido Perioperatorio: El reto de aplicar una vieja tecnología en nuevos escenarios clínicos. Rev Colomb Anestesiol 2016; 44:267-269.
6. Rudas M. The role of ultrasound in percutaneous dilatational tracheostomy. Australas J Ultrasound Med 2012; 15:143-148.
7. Apfelbaum JL, Hagberg CA, Caplan RA, et al. Practice guidelines for management of the difficult airway: an updated report by the ASA Task Force on management of the difficult airway. Anesthesiology 2013; 118:251-270.
8. Healy DW, Maties O, Hovord D, et al. A systematic review of the role of videolaryngoscopy in successful orotracheal intubation. BMC Anesthesiol 2012; 14:12-32.
9. Healy DW, Picton P, Morris M, et al. Comparison of the glidescope, CMAC, storz DCI with the Macintosh laryngoscope during simulated difficult laryngoscopy: a manikin study. BMC Anesthesiol 2012; 12:11.
10. Cierniak M, Timler D, Wieczorek A, et al. The comparison of the technical parameters in endotracheal intubation devices: the CMAC, the Vividtrac, the McGrathMac and the Kingvision. J Clin Monit Comput 2016; 30:379-387.
11. Frerk C, Mitchell VS, McNarry AF, et al. DAS 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth 2015; 115:827-848.
12. Moore AR, Schricker T, Court O. Awake videolaryngoscopy-assisted tracheal intubation of the morbidly obese. Anaesthesia 2012; 67:232-235.
13. Moore A, Hétu PO, Court O, et al. The effect of chewing lidocaine soaked gauze on intubation conditions during awake video-laryngoscopy: a randomised controlled trial in the morbidlyobese. Acta Anaesthesiol Belg 2014; 65:55-59.
14. Moore A, El-Bahrawy A, El-Mouallem E, et al. Videolaryngoscopy or fibreoptic bronchoscopy for awake intubation of bariatric patients with predicted difficult airways: a randomised, controlled trial. Anaesthesia 2017; 72:538-539.
15. Hatfield A, Bodenham A. Portable ultrasonic scanning of the anterior neck before percutaneous dilatational tracheostomy. Anaesthesia 1999; 54:660-663.
16. Osman A, Meng Sum K. Role of upper airway ultrasound in airway management. J Intensive Care 2016; 4:52.
2. Martin LD, Mhyre JM, Shanks AM, et al. 3,423 Emergency tracheal intubations at a university hospital: airway outcomes and complications. Anesthesiology 2011; 114:42-48.
3. Norskov AK, Rosenstock CV, Wetterslev J, et al. Diagnostic accuracy of anaesthesiologists’ prediction of difficult airway management in daily clinical practice: a cohort study of 188.064 patients registered in the Danish Anaesthesia Database. Anaesthesia 2015; 70:272-281.
4. Aschebrook-Kilfoy B, Ward MH, Sabra MM, et al. Thyroid cancer incidence patterns in the United States by histologic type, 19922006. Thyroid 2011; 21:125-134.
5. Rojas MF, Bonilla AJ. Ultrasonido Perioperatorio: El reto de aplicar una vieja tecnología en nuevos escenarios clínicos. Rev Colomb Anestesiol 2016; 44:267-269.
6. Rudas M. The role of ultrasound in percutaneous dilatational tracheostomy. Australas J Ultrasound Med 2012; 15:143-148.
7. Apfelbaum JL, Hagberg CA, Caplan RA, et al. Practice guidelines for management of the difficult airway: an updated report by the ASA Task Force on management of the difficult airway. Anesthesiology 2013; 118:251-270.
8. Healy DW, Maties O, Hovord D, et al. A systematic review of the role of videolaryngoscopy in successful orotracheal intubation. BMC Anesthesiol 2012; 14:12-32.
9. Healy DW, Picton P, Morris M, et al. Comparison of the glidescope, CMAC, storz DCI with the Macintosh laryngoscope during simulated difficult laryngoscopy: a manikin study. BMC Anesthesiol 2012; 12:11.
10. Cierniak M, Timler D, Wieczorek A, et al. The comparison of the technical parameters in endotracheal intubation devices: the CMAC, the Vividtrac, the McGrathMac and the Kingvision. J Clin Monit Comput 2016; 30:379-387.
11. Frerk C, Mitchell VS, McNarry AF, et al. DAS 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth 2015; 115:827-848.
12. Moore AR, Schricker T, Court O. Awake videolaryngoscopy-assisted tracheal intubation of the morbidly obese. Anaesthesia 2012; 67:232-235.
13. Moore A, Hétu PO, Court O, et al. The effect of chewing lidocaine soaked gauze on intubation conditions during awake video-laryngoscopy: a randomised controlled trial in the morbidlyobese. Acta Anaesthesiol Belg 2014; 65:55-59.
14. Moore A, El-Bahrawy A, El-Mouallem E, et al. Videolaryngoscopy or fibreoptic bronchoscopy for awake intubation of bariatric patients with predicted difficult airways: a randomised, controlled trial. Anaesthesia 2017; 72:538-539.
15. Hatfield A, Bodenham A. Portable ultrasonic scanning of the anterior neck before percutaneous dilatational tracheostomy. Anaesthesia 1999; 54:660-663.
16. Osman A, Meng Sum K. Role of upper airway ultrasound in airway management. J Intensive Care 2016; 4:52.
How to Cite
1.
Ortega Agón KA, González Maldonado JF. Awake intubation with videolaryngoscopy and ultrasound-guided percutaneous tracheostomy in a patient with anaplastic thyroid cancer and difficult airway: a case report. Colomb. J. Anesthesiol. [Internet]. 2018 Apr. 1 [cited 2024 Apr. 25];46(2):159-63. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/219
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Published
2018-04-01
How to Cite
1.
Ortega Agón KA, González Maldonado JF. Awake intubation with videolaryngoscopy and ultrasound-guided percutaneous tracheostomy in a patient with anaplastic thyroid cancer and difficult airway: a case report. Colomb. J. Anesthesiol. [Internet]. 2018 Apr. 1 [cited 2024 Apr. 25];46(2):159-63. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/219
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Section
Case Report / Case Series
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