Management of difficult intubation in the case with substernal goiter underwent cardiac surgery

Year 2018, , 152 - 154, 25.06.2018

Ayşe Lafçı , Derya Gökçınar , Süleyman Camgöz Serdar Günaydın

https://doi.org/10.18663/tjcl.393847

Abstract

Redo thyroid
surgery is difficult for several reasons and may be complicated. In some cases
airway management can be more difficult unexpectedly. In this situation, special
airway devices may be required. Here we present a case of a 67-year-old female
patient who suffer from recurrent substernal goiter and has dyspnea, cough, and
fatigue. In this case, difficult intubation was managed with a gum elastic
bougie that was placed into the classical laryngeal mask airway. Laryngeal mask
airway was removed while gum elastic bougie was left in place to guide
endotracheal tube insertion. The endotracheal tube was slipped over gum elastic
bougie. In cases of difficult intubation, endotracheal intubation can be
achieved with the guidance of  gum
elastic bougie placed through the laryngeal mask airway.

Keywords

Difficult intubation, substernal goiter, laryngeal mask airway, gum elastic bougie

Kalp cerrahisi geçirmiş olan substernal guatr olgusunda zor entübasyon yönetimi

Abstract

Redo tiroid cerrahisi çeşitli nedenlerle zor ve karmaşık
olabilir. Bazı olgularda hava yolu yönetimi beklenmedik şekilde zorluklarla
karşılaşılabilir. Bu durumda özel hava yolu cihazları gerekebilir. Biz bu olgu
sunumunda, 67 yaşında, solunum sıkıntısı, öksürük ve yorgunluk yakınmaları olan
tekrarlayan substernal guatr tanısı olan kadın hastayı sunduk. Bu olguda zor
entübasyonu yönetmek için klasik laringeal maske hava yolu içine gum elastik
buji yerleştirildi. Endotrakeal tüp yerleştirmeye kılavuz olması için gum
elastik buji yerinde bırakılırken laringeal maske hava yolu çıkarıldı. Gum
elastik buji üzerinden kaydırılarak endotrakeal tüp yerleştirildi. Zor
entübasyon olgularında, laringeal maske hava yolu içinden yerleştirilen gum elastik
buji ile endotrakeal entübasyon başarılabilir.

Keywords

Zor entübasyon, substernal guatr, laringeal maske havayolu, gum elastik buji

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