Awake fibre-optic intubation in a patient with cervico-occipital fixator

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dc.authorscopusid24175702100
dc.authorscopusid55245763100
dc.authorscopusid53063557000
dc.authorscopusid39062344400
dc.authorscopusid55898697800
dc.contributor.authorAkkaya, Akcan
dc.contributor.authorYildiz, Isa
dc.contributor.authorDemirhan, Abdullah
dc.contributor.authorTekelio?lu, Ümit Yaşar
dc.contributor.authorKoço?lu, Hasan
dc.date.accessioned2024-09-25T19:45:18Z
dc.date.available2024-09-25T19:45:18Z
dc.date.issued2013
dc.departmentAbant İzzet Baysal Üniversitesien_US
dc.description.abstractA 23-year-old male patient with cervico-occipital fixator was scheduled for surgery due to injuries to the right forearm. The patient's thyromental distance was 5 cm, mouth opening grade II, sternomental distance 10 cm and Mallampati score 4. The loss of extension of the neck in particular indicated difficult intubation. Anaesthetic procedures are almost always difficult in patients with cervico-occipital fixators; the limited cervical extension complicates both intubation and ventilation. In this report, application of general anaesthesia using awake fibre-optic bronchoscopic intubation (FOB) is described. After routine monitoring of vital signs and premedication, hypopharyngeal topical anaesthesia was applied with 10% lidocaine sprayed twice via the appropriate nostril. Superior laryngeal nerve block was performed with local anaesthetic infiltration of tissues 1 cm below the hyoid bone. Lingual and pharyngeal branches of the glossopharyngeal nerve were blocked. Transtracheal block was performed. Following completion of local anaesthesia, the patient, who was oxygenated with 5 L min-1 of 100% O2, was intubated using the awake FOB technique. After muscle relaxation, the patient underwent a microsurgical operation to repair eight tendons, one artery, and one nerve. Surgery lasted for 5 hours. When the extubation criteria were met, the patient was extubated. In cases of cervico-occipital fixation, which causes severe limitation of neck movements, the use of awake fibre-optic intubation should be considered. © 2013 by Turkish Anaesthesiology and Intensive Care Societ.en_US
dc.identifier.doi10.5152/TJAR.2013.22
dc.identifier.endpage184en_US
dc.identifier.issn1305-614X
dc.identifier.issue5en_US
dc.identifier.scopus2-s2.0-84886239780en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage182en_US
dc.identifier.urihttps://doi.org/10.5152/TJAR.2013.22
dc.identifier.urihttps://hdl.handle.net/20.500.12491/12959
dc.identifier.volume41en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.relation.ispartofTurk Anesteziyoloji ve Reanimasyon Dernegi Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzYK_20240925en_US
dc.subjectAwake intubationen_US
dc.subjectCervico-occipital fixationen_US
dc.subjectDifficult intubationen_US
dc.subjectFibre-optic bronchoscopeen_US
dc.subjectLoss of extension of necken_US
dc.titleAwake fibre-optic intubation in a patient with cervico-occipital fixatoren_US
dc.title.alternativeServiko-oksipital fiksatörlü ön kol yaralanmasi{dotless} olan hastada uyani{dotless}k fiberoptik entübasyon]en_US
dc.typeArticleen_US

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