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KMID : 0356920180710030232
대한마취과학회지
2018년 71권 3호 p.232 ~ p.236


Successful airway management with combined use of McGrath® MAC video laryngoscope and fiberoptic bronchoscope in a severe obese patient with huge goiter -a case report

 ( Chung Mee-Young ) - Catholic University College of Medicine St. Paul’s Hospital Department of Anesthesiology and Pain Medicine

 ( Park Byung-Hoon ) - Catholic University College of Medicine St. Paul’s Hospital Department of Anesthesiology and Pain Medicine
 ( Seo Jae-Ho ) - Catholic University College of Medicine St. Paul’s Hospital Department of Anesthesiology and Pain Medicine
 ( Kim Chang-Jae ) - Catholic University College of Medicine St. Paul’s Hospital Department of Anesthesiology and Pain Medicine

Abstract

Huge goitor can lead to tracheal compression and hence difficulty in intubation. This is compounded by severe obesity. Failed tracheal intubation in difficult intubation is a serious event that may lead to increased patient morbidity and mortality. Current intubation rescue techniques and combination of different rescue techniques may increase the success rate of difficult intubation. In a 47-year-old female patient, with severe obesity and a huge goiter, our attempts at intubation using direct laryngoscope, video laryngoscope, and awake fiberoptic bronchoscope had failed. We succeeded by applying video laryngoscope to improve visualization of the airway and fiberoptic bronchoscope as a stylet for endotracheal tube.
KeyWords

Difficult intubation, Fiberoptic bronchoscope, Huge goiter, McGrath® MAC video laryngoscope
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