Management of difficult airway in lung resection surgery: a case report

Authors

  • María Garví López FEA Hospital General Universitario de Albacete
  • Ana María Rodilla Fiz FEA Hospital General Universitario de Albacete
  • Marta Gómez Garrido FEA Hospital General Universitario de Albacete
  • María Girón Lacasa FEA Hospital General Universitario de Albacete

DOI:

https://doi.org/10.30445/rear.v10i4.95

Keywords:

Difficult airway, thoracic surgery, lung isolation, bronchial blocker

Abstract

We review the current recommendations for the management of the known difficult airway in lung resection surgery: we present a case with severe anatomical distortion of the airway that required pulmonary isolation.

In our daily healthcare practice, we are faced with the management of the expected difficult airway (VAD) that we solve with fibroscope-guided intubation of the awake patient (FBO), but its management in lung resection surgery has special relevance, since one-lung ventilation the required requirement leads us to know alternative techniques to the conventional double lumen tube, which due to its external diameter, rigidity and concavity, can be a challenge to place in cases of severe distortion of the airway such as the one we present.

According to current recommendations, we have devices such as the univent tube and bronchial blockers whose placement guided by FBO can help us manage one-lung ventilation in VAD.

References

1. Apfelbaum JL, Hagberg CA, Caplan RA, Blitt CD, Connis RT, Nickinovich DG et al. Practice guidelines for management of the difficult airway. An update report by the American Society of Anesthesiologists Task Force on the Management of the Difficult Airway. Anesthesiology. 2013; 118(2): 1-20. (PubMed) (HTML+ PDF)
2. Campos JH. Lung isolation techniques for patients with difficult airway. Current Opinion Anaesthesiology. 2009; 22:000-000. (PDF)
3. SIAARTI Studying Group on Dificult Airway. Recommendations for airway control and difficult airway management in thoracic anesthesia and lung separation procedures. Minerva Anestesiol. 2009; 75:59-96. (PubMed) (HTML)
4. Garcia-Guasch R, Campos JH, Granell M, Peña JJ. Aplicaciones de los bloqueadores bronquiales en cirugía torácica. Rev. Esp. Anestesiol. Reanim. 2007; 54:359-70.
5. Campos JH. Which device should be considered the best for lung isolation: double-lumen endotracheal tube versus bronchial blockers. Current Opinion Anaesthesiology. 2007; 20:27-31. (PubMed)

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Published

2020-09-10

How to Cite

Garví López, M., Rodilla Fiz, A. M., Gómez Garrido, M., & Girón Lacasa, M. (2020). Management of difficult airway in lung resection surgery: a case report. Revista Electrónica AnestesiaR, 10(4), 5. https://doi.org/10.30445/rear.v10i4.95

Issue

Vol. 10 No. 4 (2018): Revista Electrónica de AnestesiaR

Section

Critical reviews of articles

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Copyright (c) 2020 Revista Electrónica AnestesiaR

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