Airway management of saber-sheath trachea using single use flexible videoscope

Morales Sarabia, J.E.; Romero Serrano, E.; Granell, M.; De Andrés, J.

doi:10.1016/j.redare.2017.11.006

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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" => "a" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "E." "apellidos" => "Romero Serrano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "b" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "M." "apellidos" => "Granell" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "a" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "J." 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Right side abductor vocal fold paralysis. (B) Endoscopic view. Sabre-sheath trachea intubation." ] ] ] "textoCompleto" => "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>).<elsevierMultimedia ident="fig0015"></elsevierMultimedia>Awake orotracheal intubation with topical airway anaesthesia was performed using a flexible disposable videoscope (AMBU® disposable aScope 3™ Slim with maximum internal diameter of 4.3mm). 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 8.9mm) reinforced Lo-Contour cuffed tracheal tube with Murphy's eye was introduced. Surgery was uneventful.<elsevierMultimedia ident="fig0020"></elsevierMultimedia>In the operating room the tracheal tube was replaced by an 11Fr, 100cm 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." "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "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." ] ] "apendice" => array:1 [ 0 => array:1 [ "seccion" => array:1 [ 0 => array:4 [ "apendice" => "The following are the supplementary data to this article:<elsevierMultimedia ident="fig0025"></elsevierMultimedia><elsevierMultimedia ident="fig0030"></elsevierMultimedia><elsevierMultimedia ident="upi0005"></elsevierMultimedia>" "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" => "(A) Contrast-enhanced CT sabre-sheath trachea (red arrows). Goiter (blue arrow). (B) CT, axial slice. Sabre-sheath trachea (red arrow). 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Revista Española de Anestesiología y Reanimación (REDAR) -the Spanish Journal of Anesthesiology and Resuscitation- is the scientific body of the Spanish Society of Anesthesiology, Resuscitation and Pain Therapy. This is a monthly journal (10 issues) that publishes scientific articles of all areas within its specialty: clinical anesthesia, resuscitation-intensive medicine and critical care, diagnosis and treatment of acute and chronic pain, urgent care and emergencies and studies on basic science and related fields. The journal accepts work in both Spanish and English.

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Vol. 65. Issue 1.

Pages 66-67 (January 2018)

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