Anesthetic induction and endotracheal intubation in the sitting position due to the fixed forearm caught by a meat grinder
Hiroyuki Kinoshita; Noriko Sato; Shinichiro Mimura; Shigeru Kato; Tomosue Takada; Yoshiki Nakajima
http://dx.doi.org/10.1016/j.bjane.2021.07.030
Braz J Anesthesiol, Ahead of Print, 2021
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
AnesthesiaSitting positionTracheal intubationVideo laryngoscope