Racing against Time: Huge Multiple Mass on the Neck

Abstract

Defining, describing and identifying 'difficult' airways are difficult tasks. The majority of difficult patients that anesthesiologists encounter look 'more-or-less' normal. Anesthesiologists must be prepared to adapt their technique if difficulty occurs. There can be no doubt that the advent of the laryngeal mask airway (LMA) has decreased the frequency of difficulty with the airway. Flexible fiberoptic in tubation is a tremendously useful technique, which every anesthesiologist should attempt to master. The advantage of vision, the pre-eminent sense, needs no explanation.

Keywords

Difficult airway - Fiberoptic intubation - Intubating LMA - Fastrach - Capnography

• References

• 1 PREDICTING DIFFICULT INTUBATION, M.E.Wilson, D.Spiegelhalter, J.ARoberston
• 2 DIFFICULT AIRWAY: A PRACTICAL GUIDE, Cairn A Hagberg, Carlos A Artime, William H
• 3 DIFFICULT AIRWAY SOCIETY GUIDELINES FOR MANAGEMNET OF UNANTICPATED DIFFICULT AIRWAY, J.J.Henderson, M.T.Popat, I.P. Lattoo
• 4 BENUMOF JL. DEFINITION AND INCIDENCE OF THE DIFFICULT AIRWAY. IN: BENUMOF JL, (ED.) AIRWAY MANAGEMENT Principles and Practice. St Louis: Mosby, 1996: 121–125.
• 5 CALDER I, PICARD J, CHAPMAN M, O'SULLEVAN C, CROCKARD HA. Mouth opening – a new angle. Anesthesiology 2003; 99: 799–801.
• 6 KARKOUTI K, ROSE DK, FERRIS LE, WIGGLESWORTH DF, MEISANI-FARD T, LEE H. Inter-observer reliability of ten tests used for predicting difficult tracheal intubation. Can J Anaesth1996; 43: 541–543.
• 7 LANGERON O, MASSO E, HURAUX C et al. Prediction of difficult mask ventilation. Anesthesiology 2000; 92: 1229–1236
• 8 ROSE DK, COHEN MM. The airway: problems and predictions in 18,500 patients. Can J Anaesth1994; 41: 372–383
• 9 Sjoberg H. Interaction of task difficulty, activation, and workload. J Human Stress 1977; 3: 33–38.
• 10 Tham EJ, Gildersleve CD, Sanders LD, Mapleson WW, Vaughan RS. Effects of posture, phonation, and observer on Mallampati classification. Br J Anaesth 1992; 68: 32–38.