2015, Number 3
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Rev Mex Anest 2015; 38 (3)
Anticipated difficult airway in patients with acromegaly. A case report
Hernández-Díaz H, Orozco-Ramírez SM, de Alba-Salmerón AL, Hernández-Bautista S, Mireles-Cano JN
Language: Spanish
References: 10
Page: 199-204
PDF size: 333.19 Kb.
ABSTRACT
Background: The causes of death for acromegaly are three times more commonly respiratory causes than in general population. Macroglosia and hypertrophic soft tissues have been identified in several reports as implications in airway obstruction.
Material and methods: Case report about a 43-year old woman diagnosed with a hypophysis adenoma. Physical examination includes macrocephaly, coarse facial features, frontal bossing, prognatism; predictors for a difficult airway such as macroglossia, Mallampati IV, Bellhouse Dore III, jaw protrusion II.
Discussion: It is possible to secure the airway using alternative devices other than laryngoscopy for a better visualization and reduction of time for intubation as well as post-intubation complications. In this case we used Truview EVO
TM Conclusion: The anesthesiologists must be ready to secure an airway with different devices and nonsurgical techniques whether it is an anticipated difficult airway or not.
REFERENCES
Anat BS, Shlomo M. Acromegaly. Endocrinol Metab Clin Am. 2008;37:101-122.
Lim DJ, Kwon HS. Aromegaly associated whiyh type 2 diabetes showing normal IGF-1 levels under poorly controlled glycemia. Endocr J. 2007;54:537-541.
Holdaway IM, Rajasoorya RC, Gamble GD. Factors influencing mortality in acromegaly. J Clin Endocrinol Metab. 2004;89:667-674.
Ayuk J, Sheppard MC. Does acromegaly enhance mortality? Rev Endocr Metab Disord. 2008;9:33-39.
Ruiz BR, Durán PEG, Arellano MSA, Sánchez PV, Moreno LÓT, Mendoza HFC. Acromegalia. Med Int Mex. 2009;25:468-480.
Oriol-López SA. Vía aérea difícil en neuroanestesia. Revista Mexicana de Anestesiología. 2006;29:S169-S175.
Bharti N, Arora S, Panda NB. A comparison of McCoy, TruView, and Macintosh laryngoscopes for tracheal intubation in patients with immobilized cervical spine. Saudi J Anaesth. 2014;8:188-192.
Arora S, Sayeed H, Bhardwaj N. A comparison of Truview EVO2 laryngoscope with Macintosh laryngoscope in routine airway management: A randomized crossover clinical trial. Saudi J Anaesth. 2013;7:244-248.
Xue FS, Yuan YJ, Liu JH. A possible explanation for cricoid pressure to improve the laryngeal view with the Truview Evo2TM laryngoscope. Can J Anesth. 2011;58:1146-1148. doi: 10.1007/s12630-011-9599-y.
Saxena A, Madan M, Shrivastava U, Mittal A, Dwivedi Y, Agrawal A, et al. Role of the Truview EVO2 laryngoscope in the airway management of elective surgical patients: A comparison with the Macintosh laryngoscope. Indian J Anaesth. 2013;57:276-281.
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