Special position for the anaesthetic management of a patient with giant neck and back masses

Abstract

A neck mass is a risk factor for difficult airway during induction of anaesthesia particularly when accompanied with a giant back mass which limits positioning of the patient in the supine position. We report the management of a young woman with known recurrent neurofibroma scheduled for resection of her giant neck and back masses. Unfortunately, her dorsal thoracic mass was too huge to allow adoption of the supine position for induction of anaesthesia. In order to achieve a suitable supine position which is fundamental during airway management, we created a hole in the operating table to fit her giant back mass. Exhibition of this special operating table may help to achieve a suitable position and ease airway management which is not possible with routine tables in cases with giant posterior masses.

A new role for the ginsenoside RG3 in antiaging via mitochondria function in ultraviolet-irradiated human dermal fibroblasts

“…The general composition of the ECM varies between multicellular structures due to cell adhesion, intercellular communication, and differentiation [37], [38]. Development, tissue repair, morphogenesis, and remodeling are characterized by degradation of the ECM.…”

Video laryngoscope as an assist tool in lateral position laryngoscopy

“…Lateral position in itself is a difficult intubation scenario, being not a routine and ideal position for laryngoscopy. In a patient with back masses putting the patient supine using pillows or making hole in the operating table[ 7 ] may be the option but the availability of video laryngoscope in our institution prompted us to utilize it to our advantage.…”