Laryngoscopic Orotracheal and Nasotracheal Intubation

Berry, James M.; Harvey, Stephen

doi:10.1016/b978-1-4377-2764-7.00017-8

Cited by 4 publications

(2 citation statements)

References 22 publications

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“…Elevation of the occiput and atlanto-occipital joint extension ("sniffing position") allows alignment of the mouth and pharynx while the laryngoscope aligns the tracheo-laryngeal axis with the line of vision facilitating intubation [8]. While the patient's increased BMI and large neck circumference may also have contributed to difficulty with direct laryngoscopy, we surmised that the presence of an immobile mass in the sublingual space and some obstruction to sweeping the tongue to left [1], made it difficult to align these axes.…”

Section: Discussionmentioning

confidence: 99%

Difficult Direct Laryngoscopy Followed by Easy Video Laryngoscopic Intubation in a Patient with Bilateral Mandibular Tori: Should the Patient be Labeled as Having a "Difficult Airway?"

Tan¹,

R²,

Y³

et al. 2017

J Clin Anesth Pain Manag

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Mandibular tori are intraoral bony prominences which can make direct laryngoscopic intubation difficult. We present a case where we were unable to intubate a patient with bilateral mandibular tori using direct laryngoscopy, but then succeeded using video laryngoscopy. A post-procedure retrospective chart review found previous anesthetics where the patient had also been successfully intubated using video laryngoscopy but the patient was not informed verbally or with a letter that he was difficult to intubate. We informed the patient that he was a difficult direct laryngoscopic intubation and that appropriate equipment (e.g. video laryngoscope) should be available if the need arises to secure his airway in the future. With the increasing availability of video laryngoscopy, anesthesia providers should consider the circumstances under which a patient is informed that they are difficult to intubate.

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Section: Discussionmentioning

confidence: 99%

Difficult Direct Laryngoscopy Followed by Easy Video Laryngoscopic Intubation in a Patient with Bilateral Mandibular Tori: Should the Patient be Labeled as Having a "Difficult Airway?"

Tan¹,

R²,

Y³

et al. 2017

J Clin Anesth Pain Manag

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“…The right vocal cord was at risk of granulation tissue formation when the tube tip injured it. This can be explained by the fact that most endotracheal intubation operators carry the laryngoscope handle in their left hand while using their right hand to perform the intubation procedure[ 14 ]. Furthermore, we also suggest that DLT should perform by an anesthesiologist experienced in endotracheal intubation.…”

Section: Discussionmentioning

confidence: 99%

Formation of granulation tissue on bilateral vocal cords after double-lumen endotracheal intubation: A case report

Xiong¹,

Wang²,

Li³

2022

World J Clin Cases

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BACKGROUND Most case reports on laryngeal granuloma formation have described patients after tracheotomy and single-lumen endotracheal intubation. Few studies have investigated vocal cord granuloma formation after double-lumen endotracheal (DLT) intubation. CASE SUMMARY We report granulation tissue formation on the bilateral vocal cords after DLT intubation in a 45-year-old, 153-cm-tall female patient. Previous imaging reports showed no formation of vocal cord granuloma before DLT intubation. Therefore, we inferred that DLT intubation may have been the main reason for the postoperative granulation tissue formation on her bilateral vocal cords, based on the patient’s history of DLT intubation, persistent hoarseness after thoracic surgery, and fibrolaryngoscopic and pathological reports during 12 mo follow-up. CONCLUSION Thirty-two Fr DLT tubes should be utilized for thoracic surgery on female patients who are shorter than 153 cm in height.

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Dynamic optimization of height relation between anaesthetist's chest and patient's face during tracheal intubation

Xue¹,

Li²,

Liu³

2015

British Journal of Anaesthesia

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Laryngoscopic Orotracheal and Nasotracheal Intubation

Cited by 4 publications

References 22 publications

Difficult Direct Laryngoscopy Followed by Easy Video Laryngoscopic Intubation in a Patient with Bilateral Mandibular Tori: Should the Patient be Labeled as Having a "Difficult Airway?"

Difficult Direct Laryngoscopy Followed by Easy Video Laryngoscopic Intubation in a Patient with Bilateral Mandibular Tori: Should the Patient be Labeled as Having a "Difficult Airway?"

Formation of granulation tissue on bilateral vocal cords after double-lumen endotracheal intubation: A case report

Dynamic optimization of height relation between anaesthetist's chest and patient's face during tracheal intubation

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