2012, Number 3
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Rev Mex Anest 2012; 35 (3)
Early extubation in thoracic surgery patients with difficult airway
Bellas-Cotán S, González-Portillo L, Sepúlveda-Blanco A
Language: Spanish
References: 11
Page: 192-194
PDF size: 469.90 Kb.
ABSTRACT
The extubation along with the intubation is one of the critical moments of the general anesthesia development. Currently, there aren’t any algorithms or sequences of procedures design for extubation, that is why establishing previously an action strategy, having monitoring, appropriate material for the difficult airway management and experienced personnel all adapted to the specific circumstances of the patient is due. A 61 year old patient is presented with difficult airway (Mallampati IV and Cormack IV) lung cancer diagnosed and recommend for a right lower lobectomy. The early extubation was done because of the potential benefits in the thoracic surgery. The strategic plan for this particular case is exposed.
REFERENCES
Henderson JJ, Popat MT, Latto IP, Pearce AC. Difficult Airway Society guidelines for management of the unanticipated difficult intubation. Anaesthesia 2004;59:675-694.
Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2003;98:1269-1277.
Boisson-Bertrand D, Bourgain JL, Camboulives J, Crinquette V, Cros AM, Dubreuil M, et al. Société Française d’ Anesthésie et de Reanimation. Expertise collective: Intubation difficile. Ann Fr Anesth Reanim 1996;15:207-214.
Nolan J, Gwinnutt C. European guidelines on resuscitation. Simplifications should make them easier to teach and implement. BMJ 1998;316:1844-1845.
Muehling BM, Halter GL, Schelzig H, Meierhenrich R, Steffen P, Sunder-Plassmann L, et al. Reduction of postoperative pulmonary complications after lung surgery using a fast track clinical pathway. Eur J Cardiothorac Surg 2008;393:281-287.
Villalonga A, Metje M, Torres-Bahi S, Aragones N, Navarro M, March X. Colocación de un tubo de doble luz usando un fibrobroncoscopio de 6 mm y un intercambiador de tubo Cook en un paciente con intubación traqueal difícil imprevista. Rev Esp Anestesiol Reanim 2002;49:205-208.
Ayoub CM, Lteif AM, Rizk MS, Abu-Jalad NM, Hadi U, Baraka AS. Facilitation of passing the endotracheal tube over the flexible fibe-roptic bronchoscope using a Cook airway exchange catheter. Anesthesiology 2002;96:1517-1518.
Lambotte P, Menu H, Guermouche T, Boufflers E, Ferri J, Krivosic-Horber R. Intraoperative exchange of the endotracheal tube using the Cook C-CAE airway exchange catheter. Ann Fr Anesth Reanim 1998;17:1235-1238.
Kumar V, Lazar H. Extubation of the patient after a difficult intubation. Ann Thorac Surg 1998;65:1778-1780.
Mesa A. Intubación con fibrobroncoscopio. Preparación del paciente y técnica. En: Mesa A, Villalonga A, Sánchez T edit. Manual clínico de la vía aérea. México D.F. JGH Editores; 2000: 115-146.
De la Linde CM. La extubación de la vía aérea difícil. Rev Esp Anestesiol Reanim 2005;52:557-570.