Limits...
Air-Q®sp-assisted awake fiberoptic bronchoscopic intubation in a patient with Ludwig's angina.

Moon HS, Lee JY, Chon JY, Lee H, Kim D - Korean J Anesthesiol (2014)

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology and Pain Medicine, The Catholic University of Korea, College of Medicine, Seoul, Korea.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Tracheostomy was considered, but it was rejected because of concerns over the reduction in the patient's cricothyroid space caused by the swelling, the limited extension and shortness of the neck with vague landmarks... Awake FOB intubation was selected as the safest option... The following morning, the patient was stable but neck CT showed the deep neck regions were aggravated... The Air-Q®sp has a number of advantages over other supraglottic airways, including a unique curvature that approximates the upper oropharyngeal airway, a shorter anterior-posterior diameter and length, a wide airway conduit, the absence of a grill in the ventilating orifice, the soft flexible material, and the self-pressurizing cuff... These design features can facilitate safer awake FOB intubation even in morbidly obese patients... Air-Q®sp was easy to insert with a smaller and thinner cuff, a larger view space for aiming the tip of FOB towards the vocal cords, and the largest distance from the mask aperture to the laryngeal inlet compared to others (Fig. 1)... In conclusion, awake FOB intubation was found to be the safest option in a patient with Ludwig's angina and is a good alternative to Air-Q®sp-assisted orotracheal FOB... We recommend obtaining the full cooperation of the patient and performing a thorough preoperative airway evaluation... Expert airway management taking into account the patient's condition and using a range of resources including awake FOB intubation was successful in this case.

No MeSH data available.


7.0 mm ID TaperGuard™ endotracheal tube inserted into the tube of Air-Q®sp size 3.5 with the red color-coded connector removed.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4295966&req=5

Figure 1: 7.0 mm ID TaperGuard™ endotracheal tube inserted into the tube of Air-Q®sp size 3.5 with the red color-coded connector removed.

Mentions: The Air-Q®sp has a number of advantages over other supraglottic airways, including a unique curvature that approximates the upper oropharyngeal airway, a shorter anterior-posterior diameter and length, a wide airway conduit, the absence of a grill in the ventilating orifice, the soft flexible material, and the self-pressurizing cuff [4]. These design features can facilitate safer awake FOB intubation even in morbidly obese patients [5]. Air-Q®sp was easy to insert with a smaller and thinner cuff, a larger view space for aiming the tip of FOB towards the vocal cords, and the largest distance from the mask aperture to the laryngeal inlet compared to others (Fig. 1).


Air-Q®sp-assisted awake fiberoptic bronchoscopic intubation in a patient with Ludwig's angina.

Moon HS, Lee JY, Chon JY, Lee H, Kim D - Korean J Anesthesiol (2014)

7.0 mm ID TaperGuard™ endotracheal tube inserted into the tube of Air-Q®sp size 3.5 with the red color-coded connector removed.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4295966&req=5

Figure 1: 7.0 mm ID TaperGuard™ endotracheal tube inserted into the tube of Air-Q®sp size 3.5 with the red color-coded connector removed.
Mentions: The Air-Q®sp has a number of advantages over other supraglottic airways, including a unique curvature that approximates the upper oropharyngeal airway, a shorter anterior-posterior diameter and length, a wide airway conduit, the absence of a grill in the ventilating orifice, the soft flexible material, and the self-pressurizing cuff [4]. These design features can facilitate safer awake FOB intubation even in morbidly obese patients [5]. Air-Q®sp was easy to insert with a smaller and thinner cuff, a larger view space for aiming the tip of FOB towards the vocal cords, and the largest distance from the mask aperture to the laryngeal inlet compared to others (Fig. 1).

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology and Pain Medicine, The Catholic University of Korea, College of Medicine, Seoul, Korea.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Tracheostomy was considered, but it was rejected because of concerns over the reduction in the patient's cricothyroid space caused by the swelling, the limited extension and shortness of the neck with vague landmarks... Awake FOB intubation was selected as the safest option... The following morning, the patient was stable but neck CT showed the deep neck regions were aggravated... The Air-Q®sp has a number of advantages over other supraglottic airways, including a unique curvature that approximates the upper oropharyngeal airway, a shorter anterior-posterior diameter and length, a wide airway conduit, the absence of a grill in the ventilating orifice, the soft flexible material, and the self-pressurizing cuff... These design features can facilitate safer awake FOB intubation even in morbidly obese patients... Air-Q®sp was easy to insert with a smaller and thinner cuff, a larger view space for aiming the tip of FOB towards the vocal cords, and the largest distance from the mask aperture to the laryngeal inlet compared to others (Fig. 1)... In conclusion, awake FOB intubation was found to be the safest option in a patient with Ludwig's angina and is a good alternative to Air-Q®sp-assisted orotracheal FOB... We recommend obtaining the full cooperation of the patient and performing a thorough preoperative airway evaluation... Expert airway management taking into account the patient's condition and using a range of resources including awake FOB intubation was successful in this case.

No MeSH data available.