title: [A case of awake intubation using the Pentax-AWS airwayscope in a patient with a difficult airway combined with severe hemorrhagic shock].
abstract: We report a case of awake intubation in a patient with a difficult airway combined with severe hemorrhagic shock using the Pentax-AWS Airwayscope (AWS). A 65-year-old man experienced severe hemorrhagic shock due to diaphragmatic hernia after extrapleural pneumonectomy and was scheduled for emergent exploratory thoracotomy under general anesthesia. Blood pressure was maintained with dopamine-noradrenaline support, and rapid transfusion. We anticipated difficult ventilation due to a swollen face and tongue. The patient underwent awake intubation with the AWS under dexmedetomidine sedation and lidocaine spray for laryngotracheal anesthesia. The patient did not buck during intubation and hemodynamic changes were minimal.
authors.affiliation: Department of Anesthesiology, Hyogo College of Medicine, Nishinomiya 663-8501.
authors.forename: Nobuyasu
authors.initials: N
authors.lastname: Komasawa
authors.forename: Hiromi
authors.initials: H
authors.lastname: Shii
authors.forename: Ryusuke
authors.initials: R
authors.lastname: Ueki
authors.forename: Tsuneo
authors.initials: T
authors.lastname: Tatara
authors.forename: Chikara
authors.initials: C
authors.lastname: Tashiro
authors.forename: Yoshiroh
authors.initials: Y
authors.lastname: Kaminoh
mesh_terms: D000368:Aged; D004630:Emergencies; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods*; D020704:Laryngoscopes; D008297:Male; D012771:Shock, Hemorrhagic / Q000150:complications*