engleski

Zbrinjavanje otežanog dišnog puta Bonfilovim fiberoskopom u hitnom slučaju: akutni abdomen sa ileusom

I 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 difficult 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 significant 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 Bonfils fiberoptic 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 Bonfils fiberoptic 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.

difficult airway ; emergency airway management ; Bonfils intubation fiberscope

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