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Colombian Journal of Anestesiology
versión impresa ISSN 0120-3347
Resumen
ORTEGA AGON, Karina Alejandra y GONZALEZ MALDONADO, Julián Felipe. Awake intubation with videolaryngoscopy and ultrasound-guided percutaneous tracheostomy in a patient with anaplastic thyroid cancer and difficult airway: a case report. Rev. colomb. anestesiol. [online]. 2018, vol.46, n.2, pp.159-163. ISSN 0120-3347. https://doi.org/10.1097/cj9.0000000000000029.
Introduction:
Difficult airway management is an important cause of morbidity and mortality, and the implementation of new techniques and devices has contributed to the reduction of complication rates.
Case presentation:
A 62-year-old woman with a large neck mass scheduled for palliative percutaneous tracheostomy in which awake intubation with videolaryngoscopy was performed successfully in the first attempt; additionally, it was necessary to perform percutaneous tracheostomy under ultrasound guidance because of the significant degree of anatomical distortion of her neck.
Conclusion:
There is little evidence about awake intubation with videolaryngoscope in patients with neck masses, which makes our case interesting. Ultrasonography should be immediately available in difficult airway cases, because it facilitates the identification of structures and helps guide percutaneous access in real time.
Palabras clave : Airway Management; Laryngoscopy; Tracheostomy; Case Reports; Anesthesia.