Guided tactile probing: a modified blind orotracheal intubation technique for the problem-oriented difficult airway.
We present 'tactile probing', a guided approach to blind orotracheal intubation to secure a problem-oriented anticipated difficult airway in a 55-year-old male patient scheduled for elective surgical tracheostomy for a postradiotherapy translaryngeal carcinoma. Standard techniques to gain the airway were inapplicable in this case and awake flexible fiberoscopy-aided intubation had already failed.
Dutta
A
A
Department of Anesthesiology, Pain & Perioperative Medicine, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi, India. duttaamitabh@yahoo.co.in
Kumra
V P
VP
Sood
J
J
Swaroop
A
A
D000769:Anesthesia, Inhalation; D001999:Bronchoscopy; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000532:radiotherapy; D005336:Fiber Optic Technology; D005355:Fibrosis; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D007822:Laryngeal Neoplasms / Q000150:complications / Q000532:radiotherapy; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011878:Radiotherapy / Q000009:adverse effects; D014132:Trachea / Q000473:pathology*