Awake intubating laryngeal mask airway placement in a morbidly obese patient with ankylosing spondylitis and unstable thoracic spine

被引:5
作者
Herman, Abbey G. [1 ]
Mahla, Michael E. [1 ]
机构
[1] Univ Florida, Coll Med, Dept Anesthesiol, Gainesville, FL 32610 USA
关键词
Laryngeal mask; Morbidly obese; Awake intubation; Unstable spine; TRACHEAL INTUBATION;
D O I
10.1016/j.jclinane.2015.12.021
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Intubating laryngeal mask airways can be used to provide continuous ventilation throughout intubation. This is a case of a morbidly obese (body mass index = 58) 65-year-old woman with T10 and T11 compression fractures. Optimal positioning for airway management was hindered by her unstable spine, minimal neck range of motion, and extreme pain with any movement. An intubating laryngeal mask airway was placed in the awake, topically anesthetized patient, and the laryngeal mask airway and endotracheal tube combination was left in place throughout surgery. (c) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:62 / 64
页数:3
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