A case of a different approach for difficult airway: transorbital endotracheal intubation

Ain-Shams Journal of Anesthesiology - Tập 13 Số 1 - 2021
Ozge Dereli1, Cengiz Şahutoğlu1, Taner Balcıoğlu1
1Department of Anesthesiology and Reanimation, Ege University School of Medicine, Izmir, Turkey

Tóm tắt

Abstract Background In patients who have undergone head and neck surgery and received radiotherapy, airway management presents serious difficulties for the anesthesiologist. Case presentation We report a case of a 23-year-old male patient undergoing an emergency operation due to a rhabdomyosarcoma pressed spinal cord that loss of muscle strength and loss of sensation developed below the level of thoracal 6–7 vertebrae. Because of the previous radiotherapy reducing the mouth opening (less than 1 cm), the patient was intubated by transorbital pathway without any difficulty. Conclusions Transorbital intubation seems to be a safe method and may be a good alternative to difficult airway in the patient undergoing orbital exenteration.

Từ khóa


Tài liệu tham khảo

dos Reis Falcao LF, Negreiros F, Franca RF, Amaral JL (2014) Unusual access to airway with transorbital intubation. Anesthesiology 121(3):654. https://doi.org/10.1097/ALN.0b013e31829b36af

Foroughi V, Williams EL, Ferrari HA (1994) Transorbital endotracheal intubation after maxillectomy and orbital exenteration. Anesth Analg 79(4):801–802. https://doi.org/10.1213/00000539-199410000-00032

Sander M, Lehmann C, Djamchidi C, Haake K, Spies CD, Kox MDW (2002) Fiberoptic transorbital intubation: alternative for tracheotomy in patients after exenteration of the orbit. Anesthesiology 97(6):1647. https://doi.org/10.1097/00000542-200212000-00050

Waldron NH, Stolp BW, Ogilvie MP, Powers DB, Shaughnessy MR (2016) Transorbital endotracheal intubation: a nonstandard approach to a difficult airway. J Clin Anesth 34:314–317. https://doi.org/10.1016/j.jclinane.2016.05.005

Wallet F, Chatain G, Ceruse P, Marcotte G, Gueugniaud PY, Piriou V (2006) Transorbital fiberoptic intubation: a predictable difficult intubation in cephalic surgery. Ann Fr Anesth Reanim 25(7):773–776. https://doi.org/10.1016/j.annfar.2006.03.006