Dicult airway management with Bonls beroscope in case of emergency: acute abdomen with ileus (CROSBI ID 590779)
Prilog sa skupa u zborniku | sažetak izlaganja sa skupa
Podaci o odgovornosti
Maldini, Branka ; Novotny, Zdenko ; Letica- Brnadić, Renata ; Gvozdenović, Aleksandra ; Brkljačić, Ana ; Bartolek, Dubravka
engleski
Dicult airway management with Bonls beroscope in case of emergency: acute abdomen with ileus
In our clinical report, we are going to show an emergency case of 49 year old man, ASA E III status, with clinical symptoms of acute abdomen and ileus, who was scheduled for urgent surgery. Predictors of di"cult intubation (Mallampati test Class III, short thyro-mental /<6 cm/, and sterno- mental distance /<10 cm/ with limited mouth opening /inter-incisor gap <3 cm/ were associated with signi#cant comorbidity (rheumatoid arthritis, hearth disease, obesity /Body Mass Index 32.6 kg m-2/, cervical spine mobility and generalized vascular disease). Specialist experienced in airway management, had decided for one attempt of Bon#ls #beroptic intubation as primary and urgent tracheotomy, if needed, as secondary intervention. Immediately after supine position on the operating table, patient had lost consciousness and cardiac arrest developed. Successful intubation with oxygenation was followed by cardio-pulmonary resuscitation. After patient vital function stabilisation, urgent surgery was performed. In the presented emergency case, we succeeded quickly to secure the airway with Bon#ls #beroptic intubation what allowed appropriate oxygenation and start of resuscitation. The high risk of possible aspiration was avoided by timely provision of airway in experienced anaesthetist’s hands.
fiberoptic intubation; emergency
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Podaci o prilogu
55-56.
2012.
objavljeno
Podaci o matičnoj publikaciji
1. Hrvatski kongres o zbrinjavanju dišnog puta s međunarodnim sudjelovanjem, knjiga sažetaka
Maldini, Branka ; Goranović, Tatjana
Zagreb: Hrvatski liječnički zbor, Hrvatsko društvo za zbrinjavanje otežanog dišnog puta
978-953-6451-88-3
Podaci o skupu
1st Croatian congress of airway management with international participation
poster
11.10.2012-12.10.2012
Zagreb, Hrvatska