Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1590/S0034-70942012000500013
Brazilian Journal of Anesthesiology
Clinical Information

Laringoscópio óptico Airtraq® para intubação traqueal em paciente com grande lipoma na nuca: relato de caso

Airtraq® optical laryngoscope for tracheal intubation in a patient with giant lipoma at the nape: a case report

Qazi Ehsan Ali; Obaid Ahmed Siddiqui; Syed Hussain Amir; Abdulla Zoheb Azhar; Kashif Ali

http://dx.doi.org/10.1590/S0034-70942012000500013 Braz J Anesthesiol, vol.62, n5, p.738-740, 2012
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Resumo

JUSTIFICATIVA E OBJETIVOS: Lipoma é uma doença de crescimento progressivo que pode surgir em qualquer parte do corpo. O seu aparecimento na parte de trás do pescoço, especialmente quando é grande o bastante para causar restrição do pescoço, principalmente da extensão, é um desafio para os anestesiologistas sempre que precisam manejar as vias aéreas. Aqui, o papel do Airtraq® foi avaliado no movimento restrito do pescoço. RELATO DE CASO: Relatamos o caso de uma paciente selecionada para remoção cirúrgica eletiva de um lipoma enorme na nuca, medindo 14 x 12 cm, que apresentou dificuldade para assegurar a permeabilidade das vias aéreas por meio de laringoscopia convencional. Para resolver o problema, usamos com sucesso um dispositivo recentemente desenvolvido, o Airtraq®, que é um laringoscópio óptico para assegurar a via aérea. CONCLUSÃO: O Airtraq® pode ser usado para intubação eletiva em pacientes com movimentos restritos do pescoço.

Palavras-chave

CIRURGIA, Lesões do Pescoço, EQUIPAMENTOS, Laringoscópio, INTUBAÇÃO TRAQUEAL

Abstract

BACKGROUND AND OBJECTIVES: Lipoma is a progressively increasing disease which may appear anywhere in the body. Its appearance at the back of the neck, especially when it is large enough to cause restriction of neck extension, poses challenges to anesthesiologists in airway management whenever needed. This paper evaluates the role of Airtraq® in restricted neck movement. CASE REPORT: Case with a huge lipoma of 14 x 12 cm at the nape, and its surgical removal during an elective operation theatre posed difficulty in securing the airway by conventional laryngoscopy. To overcome the problem we successfully used a newly developed device, the Airtraq®, which is an optical laryngoscope for securing the airway. CONCLUSION: Airtraq® can be used for elective intubation in patients with restricted neck movements.

Keywords

Intubation, Intracheal, Lipoma, Laryngoscopes, Neck Injuries

Referencias

Gupta AK, Ommid M, Nengroo S, Naqash I, Mehta A. Predictors of difficult intubation: Study in Kashmiri population. BJMP. 2010;3(1).

Horton WA, Fahy L, Charters P. Defining a standard intubating position using "angle finder". Br J Anaesth. 1989;62:6-12.

Benumof JL. Difficult laryngoscopy: obtaining the best view. Can J Anaesth. 1994;41:361-365.

Benumof JL. Conventional (laryngoscopic) orotracheal and nasotracheal intubation (single-lumen tube). Airway Management: Principles and Practice. 1996:261-276.

Gal TJ. Airway management. Anesthesia. 2005:1637-5.

El-Ganzouri AR, McCarthy RJ, Tuman KJ, Tanck EN, IvanKovich AD. Preoperative airway assessment: Predictive value of a multivariate risk index. Anesth Analg. 1996;82:1197-1204.

Ishimura H, Minami K, Sata T. Impossible insertion of laryngeal mask airway and orophrayngeal axes. Anes thesiology. 1995;83:867-869.

Martin F, Buggy DJ. New airway equipment: opportunities for enhanced safety. Br J Anaesth. 2006;102(6):734-738.

Maharaj CH, Buckley E, Harte BH, Laffey LG. Endotracheal intubation in patients with cervical spine immobilization: A comparison of Macintosh and Airtraq laryngoscopes. Anesthesiology. 2007;107:53-59.

Ndoko SK, Amathieu R, Tual L. Tracheal intubation of morbidly obese patients: a randomized trial comparing performance of Macintosh and AirtraqTM laryngoscopes. Br J Anaesth. 2008;100:734-738.

Dimitriou VK, Zogogiannis ID, Liotiri DG. Awake tracheal intubation using the Airtraq laryngoscope: a case series. Acta Anaesthesiol Scand. 2009;53(7):964-967.

Basaranoglu G, Suren M, Teker GM, Ozdemir H, Saidoglu L. The Airtraq laryngoscope in severe ankylosing spondylitis. JR Army Med Corps. 2008;154(1):77-78.

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