Nasotracheal intubation with Airtraq optical laryngoscope in two cases of oral brachytherapy

Nasotracheal intubation is usually the selected airway approach for oral and maxillofacial surgery to enable a free surgical field. It is an unusual intubation technique with a high success rate. However, it is not free from difficulties and complications in certain groups of patients, like those wi...

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Published inRevista colombiana de anestesiología : Colombian journal of anesthesiology Vol. 43; no. 2; pp. 167 - 170
Main Authors Castañneda Pascual, Miguel, Turumbay Ramírez, Eva, Bilbao Ares, Alejandro, Jimeno García, Juan P, Batllori Gastón, Mikel, Hijosa Basarte, Esther
Format Journal Article
LanguagePortuguese
Published SCARE-Sociedad Colombiana de Anestesiología y Reanimación 01.04.2015
Subjects
ANESTHESIOLOGY
Dispositivos Ópticos
Braquiterapia Manejo de la Vía aérea
Cirugía Bucal
Brachytherapy Airway management
Surgery
Intratracheal
Intubation
Oral
Intratraqueal
Optical devices
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Summary:Nasotracheal intubation is usually the selected airway approach for oral and maxillofacial surgery to enable a free surgical field. It is an unusual intubation technique with a high success rate. However, it is not free from difficulties and complications in certain groups of patients, like those with oral, facial or cervical tumors. The Airtraq® laryngoscope (Prodol Meditec, Vizcaya, Spain) is an optical device that facilitates tracheal intubation through the indirect visualization of the vocal cords, avoiding the need to align the oral, pharyngeal and laryngeal axis. It has shown to be useful in various difficult airway (DA) scenarios. There is a version of the device to assist with the nasal intubation technique. Two oral brachytherapy treatment cases classified as DA are discussed; the nasotracheal intubation of the patient awake was successful using the Airtraq optical laryngoscope.
ISSN:0120-3347