Inhaled induction and topical anesthesia of the airway guided with C-MAC d-Blade videolaryngoscope in a myasthenia gravis patient and difficult airway

  • Julio C. Galán Gutiérrez Anesthesiology and Resuscitation Department, Asturias Central University Hospital, Oviedo, Spain
  • Pedro Charco Mora Anesthesiology and Resuscitation Department, Son Espases University Hospital, Palma de Mallorca, Spain
  • Airam Sadarangani Pestana Anesthesiology and Resuscitation Department, Gran Canaria Doctor Negrin University Hospital, Las Palmas, Spain
Keywords: Myasthenia Gravis, Airway Management, Laryngoscopy, Neuromuscular Blocking, Ventilation

Abstract

This is a case of a patient diagnosed with myasthenia gravis and clinical predictors of difficult intubation and ventilation undergoing emergency surgery for eventroplasty and bowel resection. The patient was successfully intubated asleep, with no neuromuscular relaxation, using a C-MAC videolaryngoscope and difficult intubation d-Blade, following inhaled induction and topical anesthesia of the airway.

We do want to stress the clinical value of videolaryngoscopy in patients with positive predictors of difficult intubation, the applicability of Sevoflurane for the maintenance of spontaneous ventilation in a patient asleep, as well as the use of Sugammadex for reversal of neuromuscular block in a myasthenia patient.

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How to Cite
1.
Galán Gutiérrez JC, Charco Mora P, Sadarangani Pestana A. Inhaled induction and topical anesthesia of the airway guided with C-MAC d-Blade videolaryngoscope in a myasthenia gravis patient and difficult airway. Colomb. J. Anesthesiol. [Internet]. 2013Oct.1 [cited 2022Jan.20];41(4):287 -290. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/671

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Published
2013-10-01
How to Cite
1.
Galán Gutiérrez JC, Charco Mora P, Sadarangani Pestana A. Inhaled induction and topical anesthesia of the airway guided with C-MAC d-Blade videolaryngoscope in a myasthenia gravis patient and difficult airway. Colomb. J. Anesthesiol. [Internet]. 2013Oct.1 [cited 2022Jan.20];41(4):287 -290. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/671
Section
Case Report / Case Series

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