Awake intubation with videolaryngoscopy and ultrasound-guided percutaneous tracheostomy in a patient with anaplastic thyroid cancer and difficult airway: a case report

  • Karina Alejandra Ortega Agón Hospital Universitario de Santander, Bucaramanga, Colombia
  • Julián Felipe González Maldonado Hospital Universitario de Santander, Bucaramanga, Colombia
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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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]. 2018Apr.1 [cited 2021Feb.28];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]. 2018Apr.1 [cited 2021Feb.28];46(2):159-63. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/219
Section
Case Report / Case Series

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