Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2021.07.030
Brazilian Journal of Anesthesiology
Case Report

Anesthetic induction and endotracheal intubation in the sitting position due to the fixed forearm caught by a meat grinder

Indução anestésica e intubação endotraqueal na posição sentada devido à fixação do antebraço preso por um moedor de carne

Hiroyuki Kinoshita; Noriko Sato; Shinichiro Mimura; Shigeru Kato; Tomosue Takada; Yoshiki Nakajima

Downloads: 0
Views: 313

Abstract

A male patient was scheduled for urgent amputation of his right forearm. His right forearm was stuck inside the insertion slot of a meat grinder, resulting in severe pain to his injured arm. His upper body could not move to sit in a semi-upright position. An endotracheal tube was successfully placed after rapid sequence intubation using a video laryngoscope from behind the patient on the first attempt. This case report is the first documentation of successful anesthetic induction with subsequent endotracheal intubation using a video laryngoscope from behind an injured patient whose upper body was upright with limited positioning.

Keywords

Anesthesia; Sitting position; Tracheal intubation; Video laryngoscope

Resumo

Um paciente do sexo masculino foi agendado para amputação urgente do antebraço direito. Seu antebraço direito estava preso dentro do orifício de inserção de um moedor de carne, resultando em fortes dores no braço ferido. A parte superior de seu corpo não conseguia se mover para se sentar em uma posição semi-ereta. Um tubo endotraqueal foi colocado com sucesso após intubação de sequência rápida usando um videolaringoscópio atrás do paciente na primeira tentativa. Este relato de caso é a primeira documentação de indução anestésica bem-sucedida com subsequente intubação endotraqueal usando um videolaringoscópio por trás de um paciente ferido cuja parte superior do corpo estava ereta com posicionamento limitado.

Palavras-chave

Anestesia; Posição sentada; Intubação traqueal; Videolaringoscópio

References

1. Hsieh P-S, Ma H-P, Wong C-S, et al. Emergency tracheal intubation in an ankylosing spondylitis patient in a sitting position using an airway scope combined with face-to-face and digital intubation. J Emerg Med. 2018;54:674-7.

2. Suzuki A, Terao M, Aizawa K, et al. Pentax-AWS airway Scope as an alternative for awake flexible fiberoptic intubation of a morbidly obese patient in the semi-sitting position. J Anesth. 2009;23:162-3.

3. Yamasaki T, Otake K, Kinoshita H. The use of i-gel® at the prone position in a patient with massive pulmonary bullae. Minerva Anestesiol. 2019;85:204-5.

4. Tsunoda A, Kobayashi Y, Tou M, et al. Emergency videoendoscopic endonasal tracheal intubation for severe upper airway stenosis. Am J Otolaryngol-Head and Neck Med Surg. 2021;42:102779.

5. Gaszyński TM. A comparison of a standard Macintosh blade laryngoscope, Pentax-AWS videolaryngoscope and intubrite videolaryngoscope for tracheal intubation in manikins in sitting and prone positions: a randomized cross-over study. Diagnostics. 2020;10:603.


Submitted date:
09/10/2020

Accepted date:
07/24/2021

611fe983a9539572845612e3 rba Articles
Links & Downloads

Braz J Anesthesiol

Share this page
Page Sections