title: [Case of awake intubation in semi-sitting position for a patient with myasthenia gravis combined with cervical disc hernia utilizing Pentax-AWS Airwayscope].
abstract: We report a case of awake intubation utilizing Pentax-AWS Airwayscope in semi-sitting position. A 74-year-old man with myasthenia gravis and cervical disc hernia was scheduled for distal gastrectomy under general anesthesia. He could not move his head due to severe cervical disc hernia and also could not sufficiently breathe due to the fatigue of respiratory muscles by myasthenia gravis in supine position. With fentanyl bolus administration and lidocaine spray for laryngotracheal anesthesia, we performed awake intubation in semi-sitting position with AWS from cranial side. The patient did not buck during intubation and no hemodynamic change was observed.
authors.affiliation: Department of Anesthesiology, Hyogo College of Medicine, Nishinomiya 663-8501.
authors.forename: Nobuyasu
authors.initials: N
authors.lastname: Komasawa
authors.forename: Ryusuke
authors.initials: R
authors.lastname: Ueki
authors.forename: Yukihiko
authors.initials: Y
authors.lastname: Tomita
authors.forename: Yoshiroh
authors.initials: Y
authors.lastname: Kaminoh
authors.forename: Chikara
authors.initials: C
authors.lastname: Tashiro
mesh_terms: D000368:Aged; D000768:Anesthesia, General; D002574:Cervical Vertebrae; D005743:Gastrectomy; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications*; D007442:Intubation, Intratracheal / Q000295:instrumentation* / Q000379:methods; D008297:Male; D009157:Myasthenia Gravis / Q000150:complications*; D019990:Perioperative Care; D011187:Posture; D013274:Stomach Neoplasms / Q000150:complications / Q000601:surgery; D014851:Wakefulness