Failed fibre optic intubation in a difficult airway- an anaesthetic nightmare

Kulkarni, Anita; Pathak, Soumi

doi:10.4038/slja.v26i2.8310

Cited by 1 publication

(2 citation statements)

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“…However, alternative plans for the airway management should be drawn prior to attempting awake fiberoptic intubation. 5 There has been several reports on failed fiberoptic intubation needing alternative plans. 5,6 In most of the situations, the backup plan would be to perform a tracheostomy under local anesthesia.…”

Section: Discussionmentioning

confidence: 99%

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A case of displaced mandibular reconstruction plate and the airway

Ratnayake¹,

Nanayakkara²,

Herath³

2023

Anaesth. pain intensive care

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Difficult airway is a common problem encountered in oro-maxillo-facial surgeries. We describe a case where a displaced mandibular reconstruction plate obstructing the access to oral cavity. The airway was further compromised by previous tracheostomy, and limited neck extension owing to previous surgeries and radiotherapy. The inability of the patient to swallow increased the risk of pulmonary aspiration. The first line of airway management in such patient should be fibro-optic laryngoscopy. However, one must have alternative plans for securing airway if there are expected difficulties with fiberoptic laryngoscopy. Such plans were made considering her clinical presentation. We believe this case highlights the importance of pre-planning the strategies for airway management according to the presentation. Key words: Difficult airway; Oro-maxillary-facial surgeries; Fiberoptic intubation; Mandibular reconstruction Citation: Ratnayake A, Nanayakkara S, Herath M. A case of displaced mandibular reconstruction plate and the airway. Anaesth. pain intensive care 2022;27(1):139−141; DOI: 10.35975/apic.v27i1.2126 Received: September 24, 2022; Reviewed: November 15, 2022; Accepted: November 15, 2022

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Section: Discussionmentioning

confidence: 99%

“…5 There has been several reports on failed fiberoptic intubation needing alternative plans. 5,6 In most of the situations, the backup plan would be to perform a tracheostomy under local anesthesia. In this patient, performing a tracheostomy would have been difficult due to previous tracheostomy.…”

Section: Discussionmentioning

confidence: 99%