Awake intubation using fast-track laryngeal mask airway as an alternative to fiberoptic bronchoscopy: a case report.
Patients with rheumatoid arthritis (RA) pose a unique challenge to the anesthetist. The manifestations of RA may include cervical spine instability, limited range of motion, and temperomandibular joint involvement limiting mouth opening. Therefore, securing the airway while maintaining the head and neck in a neutral position is of particular concern to the anesthetist. While this is most commonly accomplished using an awake fiberoptic technique, the following case is presented as a safe and efficient initial alternative to the primary use of fiberoptic bronchoscopy in the appropriate patient population.
Parnell
J David
JD
Sevier Anesthesia Associates, PC, Sevierville, TN, USA. parndks@hotmail.com
Mills
Jeff
J
D000768:Anesthesia, General; D001172:Arthritis, Rheumatoid; D001178:Arthroplasty; D001268:Atlanto-Axial Joint; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D007593:Joint Instability; D017214:Laryngeal Masks; D008297:Male; D008875:Middle Aged; D009407:Nerve Block