Periodicidad semestral: flujo continuo.
ISSN - Electrónico: 2661-6947 / DOI: 10.36015 • LILACS BIREME (19784); LATINDEX (20666)
Introduction: the ASA define difficult airway as the clinical situation in which a conventionally trained anesthesiologist experiences difficulty with face mask ventilation, endotracheal intubation difficulty , or both. Difficult mask ventilation is 1) the impossibility for an anesthesiologist who has no help to maintain oxygen saturation (SpO2) > 90 % when using 100% oxygen and positive pressure ventilation by face mask to a patient whose SpO2 was 90 % before anesthetic intervention or 2) the impossibility for an anesthesiologist who has no help prevent or reverse signs of inadequate ventilation during positive pressure ventilation by face mask . These signs include cyanosis, absence of chest movement, auscultation signs of severe airway obstruction, gastric distension by gas inlet and hypoxemia and hypercapnia secondary to hemodynamic changes. Difficult laryngoscopy: unable to display some part of the glottis during conventional laryngoscopy. Difficult intubation: a situation in which more than three attempts or more than ten minutes for the proper insertion of the endotracheal tube with conventional laryngoscopy is required.1 Materials and methods: this is a clinical case review and a literature review. Results: this case illustrates one of the difficult airway situations envisaged produced by airway pathology and anterior mediastinal masses such as thyroid. Rare presentation and involves a complex anesthetic management. Conclusions: we can conclude that the difficult airway management anticipated or not, is a challenge for the anesthesiologist and requires constant training and update.
REFERENCIAS BIBLIOGRÁFICAS
Benumof J L, Airway exchange catheter, simple concept, potentially great danger. Anesthesiology 1999;91:557
American Society of Anesthesiologists. 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. 2013. 1:15
American Society of Anesthesiologists: Practice guidelines for management of the difficult airway: An updated report. Anesthesiology. 2003; 98:1269–1277
Amathieu R, Combes X, Abdi W, Housseini LE, Rezzoug A, An algorithm for difficult airway management, modifies for modern optical devices: a 2 year prospective validation in patients for elective abdominal, gynecologic and thyroid surgery. Anesthesiology 2011; 114:25-33
Malin E, Montblanc J, Ynineb Y, Marret E, Bonnet F: performance of the airtraq laryngoscope after failed conventional tracheal intubation: a case series. Acta Anaesthesiol Scand 2009; 53: 858-63
The authors who publish in this journal accept the following conditions:
1. The authors retain the copyright and grant to the CAMbios MEDICAL-SCIENTIFIC JOURNAL HECAM the right of the first publication, with the work registered with the Creative Commons attribution license, which allows third parties to use the published material provided that they mention the authorship of the work and the first publication in this journal.
2. Authors can make other independent and additional contractual agreements for the non-exclusive distribution of the version of the article published in this journal (for example, include it in an institutional repository or publish it in a book) as long as it clearly indicates that the work was published. for the first time in the CAMbios MEDICAL-SCIENTIFIC JOURNAL HECAM.