2017, Number 4
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Rev Mex Anest 2017; 40 (4)
Anesthetic management in a patient with difficult airway and Myasthenia gravis. Is sedation necessary in intubation of an awake patient?
Castellanos-González R, Mariscal-Flores ML, Martín-Ventura S, Somoza-Sáez F, Jiménez-García MJ, García-Molina C
Language: Spanish
References: 9
Page: 295-298
PDF size: 186.64 Kb.
ABSTRACT
The management of difficult airway is a major challenge that the entire anesthesiologists finds during their professional activity. Awake intubation with fiberoptic can be used when ordinary intubation with direct laryngoscopy after the induction of general anesthesia is expected to be difficult. In order to be able to anesthetize the structures that make up the airway, sedative drugs, among others, are used. In patients suffering from Myasthenia gravis the use of these drugs is contraindicated and may cause an increased risk of respiratory depression, therefore it is essential to perform a good topical anesthesia. In conclusion, when there is a patient who, in addition to having associated difficult airway with another disease than can complicate the management of it, it is very important to establish an adequate action plan to manage the situation under optimal conditions of security and resolve the scene succesfully.
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