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Airway management of saber-sheath trachea using single use flexible videoscope
Abordaje de vía aérea en tráquea en vaina de sable con videoendoscopio flexible desechable
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Tráquea en vaina de sable (flechas rojas). Bocio (flecha azul). B) TC corte axial. Tráquea en vaina de sable (flecha roja). El color de esta figura solo puede apreciarse en la versión electrónica del artículo.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J.E. Morales Sarabia, E. Romero Serrano, M. Granell, J. De Andrés" "autores" => array:4 [ 0 => array:2 [ "nombre" => "J.E." "apellidos" => "Morales Sarabia" ] 1 => array:2 [ "nombre" => "E." "apellidos" => "Romero Serrano" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Granell" ] 3 => array:2 [ "nombre" => "J." 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Morales Sarabia, E. Romero Serrano, M. Granell, J. De Andrés" "autores" => array:4 [ 0 => array:4 [ "nombre" => "J.E." "apellidos" => "Morales Sarabia" "email" => array:1 [ 0 => "romeroserranoe@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "E." "apellidos" => "Romero Serrano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "M." "apellidos" => "Granell" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "J." "apellidos" => "De Andrés" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Consorcio Hospital General Universitario de Valencia, Valencia, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital de Tortosa Verge de la Cinta, Tarragona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Abordaje de vía aérea en tráquea en vaina de sable con videoendoscopio flexible desechable" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0020" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 2675 "Ancho" => 1583 "Tamanyo" => 167287 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">(A) Endoscopic view. Right side abductor vocal fold paralysis. (B) Endoscopic view. Sabre-sheath trachea intubation.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 37-year-old patient (ASA III), with a history of HIV and chronic bronchitis, underwent total thyroidectomy for toxic multinodular goiter. Preoperative assessment of the upper airway showed a sabre-sheath trachea with 80% narrowing of the coronal diameter and widening of the sagittal diameter, as well as extrinsic compression due to endothoracic goiter (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 1</a>).</p><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Awake orotracheal intubation with topical airway anaesthesia was performed using a flexible disposable videoscope (AMBU<span class="elsevierStyleSup">®</span> disposable aScope 3™ Slim with maximum internal diameter of 4.3<span class="elsevierStyleHsp" style=""></span>mm). Right side abductor vocal fold paralysis together with tracheal deviation and lumen narrowing were observed (<a class="elsevierStyleCrossRef" href="#fig0020">Fig. 2</a>). A size 6.5 (external diameter 8.9<span class="elsevierStyleHsp" style=""></span>mm) reinforced Lo-Contour cuffed tracheal tube with Murphy's eye was introduced. Surgery was uneventful.</p><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">In the operating room the tracheal tube was replaced by an 11<span class="elsevierStyleHsp" style=""></span>Fr, 100<span class="elsevierStyleHsp" style=""></span>cm long soft-tipped extra-firm airway exchange catheter, which was connected to a capnograph. The patient was transferred to the intensive care unit, where the catheter was removed an hour later due to the patient's good neurological and respiratory response.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Morales Sarabia JE, Romero Serrano E, Granell M, De Andrés J. Abordaje de vía aérea en tráquea en vaina de sable con videoendoscopio flexible desechable. Rev Esp Anestesiol Reanim. 2018;65:66–67.</p>" ] ] "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "<p id="par0205" class="elsevierStylePara elsevierViewall">The following are the supplementary data to this article:<elsevierMultimedia ident="fig0025"></elsevierMultimedia><elsevierMultimedia ident="fig0030"></elsevierMultimedia><elsevierMultimedia ident="upi0005"></elsevierMultimedia></p>" "etiqueta" => "Appendix A" "titulo" => "Supplementary data" "identificador" => "sec0100" ] ] ] ] "multimedia" => array:5 [ 0 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 2518 "Ancho" => 1583 "Tamanyo" => 291195 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Contrast-enhanced CT sabre-sheath trachea (red arrows). Goiter (blue arrow). (B) CT, axial slice. Sabre-sheath trachea (red arrow). The colour of this image can only be seen in the electronic version of the article.</p>" ] ] 1 => array:7 [ "identificador" => "fig0020" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 2675 "Ancho" => 1583 "Tamanyo" => 167287 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">(A) Endoscopic view. Right side abductor vocal fold paralysis. (B) Endoscopic view. 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