Author(s): Jayashree Sen, Parvoti S., Bitan Sen, Sheetal Madavi

Email(s): Email ID Not Available

DOI: 10.52711/0974-360X.2021.00676   

Address: Dr. Jayashree Sen1, Dr. Parvoti S.2, Dr. Bitan Sen3, Dr. Sheetal Madavi4
1Prof. Dept. of Anaesthesia DMIMS, Wardha, Maharashtra, India.
2Junior Resident, Dept. of Anaesthesia DMIMS, Wardha, Maharashtra, India.
3DNBSS Senior Resident, Bombay Hospital Institute of Medical Science, Dept. of Critical Care Medicine Mumbai, Maharashtra, India.
4Asstt. Prof. Dept. of Anaesthesia DMIMS, Wardha, Maharashtra, India.
*Corresponding Author

Published In:   Volume - 14,      Issue - 7,     Year - 2021


ABSTRACT:
Management of a “difficult airway” poses one of the most relevant and challenging tasks for anesthesiologists. Unanticipation with difficult airway and endotracheal intubation during the conduction of general anesthesia may result in complications and fatality. We report the case of a 14 yr old boy for planned C5-C6 spine fixation under general anaesthesia. Unanticipated difficult oral intubation after three failed attempts, managed by a stylleted cuffed endotracheal tube, head up tilt of the operation table, shoulder support, cricoid pressure and rotation of the endotracheal tube anticlockwise at the glottic opening.


Cite this article:
Jayashree Sen, Parvoti S., Bitan Sen, Sheetal Madavi. A Case of Unanticipated difficult Intubation in a patient posted for C5-C6 Posterior Fixation. Research Journal of Pharmacy and Technology. 2021; 14(7):3896-8. doi: 10.52711/0974-360X.2021.00676

Cite(Electronic):
Jayashree Sen, Parvoti S., Bitan Sen, Sheetal Madavi. A Case of Unanticipated difficult Intubation in a patient posted for C5-C6 Posterior Fixation. Research Journal of Pharmacy and Technology. 2021; 14(7):3896-8. doi: 10.52711/0974-360X.2021.00676   Available on: https://rjptonline.org/AbstractView.aspx?PID=2021-14-7-73


REFERENCE:
1.    Benumof JL. Management of the difficult adult airway. With special emphasis on awake tracheal intubation. Anesthesiology. 1991 Dec; 75(6):1087-110.
2.    Management of Unanticipated Difficult Intubation. Pennsylvania Patient Safety Advisory 2010; 7(4):113-22.
3.    Mallampati D, Gatt SP, Gugino LD et al. A clinical sign to predict difficult tracheal intubation: a prospective study. Can Anaesth Soc J 1985; 32: 429-34.
4.    Cormack RS, Lehane J. Difficult tracheal intubation in obstetrics. Anaesthesia 1984; 39: 1105-11]
5.    Sellick BA. Cricoid pressure to control regurgitation of stomach contents during induction of anaesthesia. Lancet 1961; 2: 404-6., 80. Knill RL. Difficult laryngoscopy made easy with a BURP. Can J Anaesth 1993; 40: 279-82.
6.    Nolan JP, Wilson ME. Orotracheal intubation in patients with potential cervical spine injuries. An indication for the gum elastic bougie. Anaesthesia1993; 48: 630‐3.
7.    Hariharan U. Sudden unanticipated difficult airway Anesthesiology and Clinical Science Research (2019) Volume 3, Issue 1.

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RNI: CHHENG00387/33/1/2008-TC                     
DOI: 10.5958/0974-360X 

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