title: Use of the TotalTrack VLM for emergent endotracheal intubation in predicted difficult airway with obstruction by expanding space-occupying lesions and reduced interincisor opening.
abstract: Acute cervical pathology may lead to serious airway compromise resulting from anatomical distortion secondary to obstruction or deviation of the upper airway, scenarios where any airway device can be fallible. Passage of a fiberoptic bronchoscopy to expose the glottis may be very difficult and tracheostomy may be impractical or risky in advanced cases. We present the use of the TotalTrack VLM to secure the airway for emergent surgery in 2 uncooperative patients with difficult airway due to Ludwig's angina and neck hematoma, respectively, both accompanied by trismus.
authors.affiliation: Anesthesiology and Perioperative Medicine, Department of Anesthesiology and Perioperative Medicine, Complejo Hospitalario Universitario de A Coruña, A Coruña, España; Anesthesiology and Pain Management Research Group, Institute for Biomedical Research of A Coruña (INIBIC), A Coruña, España.
authors.forename: B
authors.initials: B
authors.lastname: Izquierdo-González
authors.affiliation: Anesthesiology and Perioperative Medicine, Department of Anesthesiology and Perioperative Medicine, Complejo Hospitalario Universitario de A Coruña, A Coruña, España; Anesthesiology and Pain Management Research Group, Institute for Biomedical Research of A Coruña (INIBIC), A Coruña, España. Electronic address: magoris@hotmail.com.
authors.forename: M Á
authors.initials: MÁ
authors.lastname: Gómez-Ríos
authors.affiliation: Anesthesiology and Perioperative Medicine, Department of Anesthesiology and Perioperative Medicine, Complejo Hospitalario Universitario de A Coruña, A Coruña, España; Anesthesiology and Pain Management Research Group, Institute for Biomedical Research of A Coruña (INIBIC), A Coruña, España.
authors.forename: E
authors.initials: E
authors.lastname: Freire-Vila
mesh_terms: D000328:Adult; D000402:Airway Obstruction / Q000628:therapy; D004867:Equipment Design; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged
keywords: Angina de Ludwig; Difficult airway; Hematoma cervical; Ludwig's angina; Neck hematoma; TotalTrack VLM; Vía aérea difícil