SciELO - Scientific Electronic Library Online

 
vol.47 issue1Effectiveness and safety of exclusive spinal anesthesia with bupivacaine versus femoral sciatic block during the postoperative period of patients having undergone knee arthroscopy: systematic reviewProlonged brachial plexopathy following interscalene block for shoulder arthroplasty author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Revista Colombiana de Anestesiología

Print version ISSN 0120-3347

Rev. colomb. anestesiol. vol.47 no.1 Bogotá Jan./Mar. 2019

http://dx.doi.org/10.1097/cj9.0000000000000089 

Images

The usefulness of the videolaryngoscope for the diagnosis of an unknown epiglottic tumor

Mercedes Benítez-Jiméneza  , María Ángeles Rodríguez-Navarrob  *  , Petra González-Pérezb  , Clara Díaz-Alejoa  , Ana Belén Alcaraz-Martíneza  , Lorenzo Sánchez-Ródenasb 

a Residente en anestesiología. Departamento de Anestesia y Dolor, Hospital general universitario J.M. Morales Meseguer. Murcia, España

b Anesthesia and Pain Department, Hospital General Universitario J.M. Morales Meseguer, Murcia, Spain.

The contribution of video-laryngoscopy to improving the process of orotracheal intubation has been shown if various publications emphasizing an improved and better quality vision of the mouth and the larynx; it is extremely valuable for teaching purposes and is part of the algorithm for the intubation of a predicted difficult airway.1,2

This article discusses the case of a 54-year-old patient admitted to the emergency OR for surgery of an ascending colon neoplasm and secondary intestinal obstruction. The patient has a history of smoking 10 packs/year, criteria consistent with chronic bronchial disease, and hepatitis C.

In the light of the risk of bronchoaspiration, induction, and rapid sequence intubation were conducted uneventfully. During the laryngoscopy with a Macintosh, an epiglottic mass was identified. Following the intubation and the tracheal pneumo-tamponade, we conducted a second laryngoscopy using a video laryngoscope Glidescope Titanium (Verathon Medical Bothell, WA, USA), which clearly revealed an epiglottic tumor.

After obtaining the consent of a family member, the planned hemicolectomy was conducted, in addition to a resection through laryngeal microsurgery and a biopsy of the epiglottic tumor identified (0.75 cm) (Fig. 1A and B).

Source: Authors.

Figure 1 (A) Epiglottic mass seen through the video-lanryngoscope. (B) Epiglottic mass following the surgical resection. 

Several papers argue that the total time elapsed during intubation and isolation of the airway is longer with the use of the video-laryngoscope versus the routine laryngoscopy, when the operator is still in the learning curve2; this is why the laryngoscope was used.

The use of video-laryngoscopes-Glidescope, King Vision-initially designed to facilitate orotracheal intubation, is very frequent in the algorithm for managing a difficult airway,3 in addition to a very exciting application in oropharyngeal surgery.4 Furthermore, we find that the device allows for an easy and minimally invasive exploration as compared against laryngoscopy using a rigid laryngoscope, as illustrated in our case in which the problem was solved in the same surgical-anesthetic procedure.

Ethical disclosures

Protection of persons and animals: The authors claim that no experiments in humans or animals were conducted for this research.

Confidentiality of the information: The authors declare that they followed the protocols of their workplace with regard to disclosure of patient data.

Right to privacy and informed consent: The authors declare that this article does not disclose any patient information.

References

1. Griesdale DE, Liu D, McKinney J, et al. Glidescope(r) video-laryngoscopy versus direct laryngoscopy for endotracheal intubation: a systematic review and meta-analysis. Can J Anaesth 2012;59:41-52. [ Links ]

2. Lewis SR, Butler AR, Parker J, et al. Videolaryngoscopy versus direct laryngoscopy for adult patients requiring tracheal intubation. Cochrane Database Syst Rev 2016;11:CD011136. [ Links ]

3. España Fuente L, De la Rica Fernández P, González González JL. Use of King Vision videolaryngoscope in an unanticipated difficult airway in an adult patient with giant vallecular cyst, a case report. Rev Esp Reanim 2017;64:61-67. [ Links ]

4. Bruno E, Dauri M, Mauramati S, et al. Utility of glidescope videolaryngoscopy in surgical procedures involving the larynx. Acta Otorhinolaryngol Ital 2015;35:45-48. [ Links ]

How to cite this article: Benítez-Jiménez M, Rodríguez-Navarro MA, González-Pérez P, Díaz-Alejo C, Alcaraz-Martínez AB, Sánchez-Ródenas L. The usefulness of the videolaryngoscope for the diagnosis of an unknown epiglottic tumor. Colombian Journal of Anesthesiology. 2019;47:69-70.

Funding Author's own resources.

Conflicts of interest Authors declare no conflicts of interest implied in the writing of this manuscript.

* Correspondence: Anesthesia and Pain Department, Hospital General Universitario J.M. Morales Meseguer, Calle Marqués de los Vélez, Murcia 30009, Spain. E-mail: Marodrigueznavarro@yahoo.es

Creative Commons License This is an open-access article distributed under the terms of the Creative Commons Attribution License