Abstract

GALAN GUTIERREZ, Julio C.; CHARCO MORA, Pedro  and  SADARANGANI PESTANA, Airam. Inhaled induction and topical anesthesia of the airway guided with C-MAC d-Blade videolangyscope in a myasthenia gravis patient and difñcult airway. Rev. colomb. anestesiol. [online]. 2013, vol.41, n.4, pp.287-290. ISSN 0120-3347.  https://doi.org/10.1016/j.rca.2013.05.004.

This is a case of a patient diagnosed with myasthenia gravis and clinical predictors of difficult intubation and ventilation undergoing emergency surgery for eventroplasty and bowel resection. The patient was successfully intubated asleep, with no neuromuscular relaxation, using a C-MAC video laryngoscope and difficult intubation d-Blade, following inhaled induction and topical anesthesia of the airway. We do want to stress the clinical value of video laryngoscopy in patients with positive predictors of difficult intubation, the applicability of Sevoflurane for the maintenance of spontaneous ventilation in a patient asleep, as well as the use of Sugammadex for reversal of neuromuscular block in a myasthenia patient.

Keywords : Myasthenia gravis; Airway management; Laryngoscopy; Neuromuscular blocking; Ventilation.

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