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Difficult airway in a patient with H1N1 pneumonia in intensive care unit

Year 2014, Volume: 5 Issue: 4, - , 01.12.2014
https://doi.org/10.5799/ahinjs.01.2014.04.0471

Abstract

The difficult airway is a frequent problem among adult patients in intensive care unit. All critical patients should initially be evaluated as a potential difficult airway cases. Development of a serious desaturation should be considered since these patients have less physiological reserve compared to those with difficult airway due to elective surgery. Development of respiratory failure with H1N1 associated pneumonia is likely and support of intubation and mechanic ventilator shall be needed. The objective of this report is to present the management of a patient with H1N1 associated pneumonia who required intubation however could not be intubated due to difficult airway. J Clin Exp Invest 2014; 5 (4): 617-619

References

  • American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guide- lines for management of the difficult airway: an up dated report by the American Society of Anesthesiolo- gists Task Force on Management of the Difficult Air- way. Anesthesiology 2003;98:1269-1277.
  • Benumof JL. Management of the difficult adult airway. With special emphasis on awake tracheal intubation. Anesthesiology 1991;75:1087-1110.
  • Domino KB, Posner KL, Caplan RA. Airway injury dur- ing anesthesia: A closed claims analysis. Anesthesiol- ogy 1999;91:1703-1711.
  • Lavery GG, McCloskey BV. The difficult airway in adult critical care. Crit Care Med 2008;36:2163-2173.
  • Heuer JF, Barwing TA, Barwing J, et al. Incidence of difficult intubation in intensive care patients: analy- sis of contributing factors. Anaesth Intensive Care 2012;40:120-127.
  • Delaney JW, Fowler RA. 2009 influenza A (H1N1): A clinical review. Hosp Pract (Minneap) 2010;38:74-81.
  • Kirakli C, Tatar D, Cimen P, et al. Survival from severe pandemic H1N1 in urban and rural Turkey: A case se- ries. Respir Care 2011;56:790-795.
  • Paredes G, Cevallos C. Acute respiratory distress syn- drome during the 2009 H1N1 influenza A pandemic in Ecuador. Med Intensiva 2010;34:310-317.
  • Winck JC, Gonçalves M. H1N1 infection and acute re- spiratory failure: can we give non-invasive ventilation a chance? Rev Port Pneumol 2010;16:907-911.
  • Canbulat A, Goren S, Moğol EB, et al. Kardiyak cer- rahi ameliyatlarından sonra hastaların yoğun bakı- ma transportları sırasında mekanik ventilasyon ile elle ventilasyonun karşılaştırılması. J Clin Exp Invest 2012;3:521-528.

Yoğun bakım ünitesinde H1N1 pnömonisi ile takip edilen hastada zor hava yolu

Year 2014, Volume: 5 Issue: 4, - , 01.12.2014
https://doi.org/10.5799/ahinjs.01.2014.04.0471

Abstract

Zor havayolu erişkin yoğun bakım hastalarında sık görülen bir sorundur. Yoğun bakım hastaları başlangıçta potansiyel zor havayoluna sahip olarak değerlendirilmelidir. Bu hastalar elektif cerrahi ile birlikte havayolu zorluğu olan hastalardan daha az fizyolojik rezerve sahip oldukları için ciddi desatürasyon gelişebileceği göz önünde tutulmalıdır. Pandemik influenza A (H1N1) pnömonisi ile birlikte solunum yetmezliği sıklıkla gelişir, entübasyon ve mekanik ventilatör desteğine ihtiyaç olabilir. Bu yazıda H1N1 pnömonisi tanısı ile takip edilirken entübasyon ihtiyacı doğan ancak zor entübasyon saptanan erişkin hastanın sunulması amaçlandı.

References

  • American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guide- lines for management of the difficult airway: an up dated report by the American Society of Anesthesiolo- gists Task Force on Management of the Difficult Air- way. Anesthesiology 2003;98:1269-1277.
  • Benumof JL. Management of the difficult adult airway. With special emphasis on awake tracheal intubation. Anesthesiology 1991;75:1087-1110.
  • Domino KB, Posner KL, Caplan RA. Airway injury dur- ing anesthesia: A closed claims analysis. Anesthesiol- ogy 1999;91:1703-1711.
  • Lavery GG, McCloskey BV. The difficult airway in adult critical care. Crit Care Med 2008;36:2163-2173.
  • Heuer JF, Barwing TA, Barwing J, et al. Incidence of difficult intubation in intensive care patients: analy- sis of contributing factors. Anaesth Intensive Care 2012;40:120-127.
  • Delaney JW, Fowler RA. 2009 influenza A (H1N1): A clinical review. Hosp Pract (Minneap) 2010;38:74-81.
  • Kirakli C, Tatar D, Cimen P, et al. Survival from severe pandemic H1N1 in urban and rural Turkey: A case se- ries. Respir Care 2011;56:790-795.
  • Paredes G, Cevallos C. Acute respiratory distress syn- drome during the 2009 H1N1 influenza A pandemic in Ecuador. Med Intensiva 2010;34:310-317.
  • Winck JC, Gonçalves M. H1N1 infection and acute re- spiratory failure: can we give non-invasive ventilation a chance? Rev Port Pneumol 2010;16:907-911.
  • Canbulat A, Goren S, Moğol EB, et al. Kardiyak cer- rahi ameliyatlarından sonra hastaların yoğun bakı- ma transportları sırasında mekanik ventilasyon ile elle ventilasyonun karşılaştırılması. J Clin Exp Invest 2012;3:521-528.
There are 10 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Meltem Türkay This is me

Gülistan Aktaş This is me

İsmail Çoşkuner This is me

Publication Date December 1, 2014
Published in Issue Year 2014 Volume: 5 Issue: 4

Cite

APA Türkay, M., Aktaş, G., & Çoşkuner, İ. (2014). Yoğun bakım ünitesinde H1N1 pnömonisi ile takip edilen hastada zor hava yolu. Journal of Clinical and Experimental Investigations, 5(4). https://doi.org/10.5799/ahinjs.01.2014.04.0471
AMA Türkay M, Aktaş G, Çoşkuner İ. Yoğun bakım ünitesinde H1N1 pnömonisi ile takip edilen hastada zor hava yolu. J Clin Exp Invest. December 2014;5(4). doi:10.5799/ahinjs.01.2014.04.0471
Chicago Türkay, Meltem, Gülistan Aktaş, and İsmail Çoşkuner. “Yoğun bakım ünitesinde H1N1 pnömonisi Ile Takip Edilen Hastada Zor Hava Yolu”. Journal of Clinical and Experimental Investigations 5, no. 4 (December 2014). https://doi.org/10.5799/ahinjs.01.2014.04.0471.
EndNote Türkay M, Aktaş G, Çoşkuner İ (December 1, 2014) Yoğun bakım ünitesinde H1N1 pnömonisi ile takip edilen hastada zor hava yolu. Journal of Clinical and Experimental Investigations 5 4
IEEE M. Türkay, G. Aktaş, and İ. Çoşkuner, “Yoğun bakım ünitesinde H1N1 pnömonisi ile takip edilen hastada zor hava yolu”, J Clin Exp Invest, vol. 5, no. 4, 2014, doi: 10.5799/ahinjs.01.2014.04.0471.
ISNAD Türkay, Meltem et al. “Yoğun bakım ünitesinde H1N1 pnömonisi Ile Takip Edilen Hastada Zor Hava Yolu”. Journal of Clinical and Experimental Investigations 5/4 (December 2014). https://doi.org/10.5799/ahinjs.01.2014.04.0471.
JAMA Türkay M, Aktaş G, Çoşkuner İ. Yoğun bakım ünitesinde H1N1 pnömonisi ile takip edilen hastada zor hava yolu. J Clin Exp Invest. 2014;5. doi:10.5799/ahinjs.01.2014.04.0471.
MLA Türkay, Meltem et al. “Yoğun bakım ünitesinde H1N1 pnömonisi Ile Takip Edilen Hastada Zor Hava Yolu”. Journal of Clinical and Experimental Investigations, vol. 5, no. 4, 2014, doi:10.5799/ahinjs.01.2014.04.0471.
Vancouver Türkay M, Aktaş G, Çoşkuner İ. Yoğun bakım ünitesinde H1N1 pnömonisi ile takip edilen hastada zor hava yolu. J Clin Exp Invest. 2014;5(4).