Patient-Assisted Self-Introduction of Airtraq® in a Difficult Airway Case

María Juliana Córdoba-Wagner*, Laura Llinares-Espi and Marcos De Miguel-Negro

Anesthesiology and Resuscitation Service, Hospital Universitari Vall d´Hebron, Spain

^*Correspondance to: María Juliana Córdoba Wagner 

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Abstract:

A 40-year-old male patient diagnosed with metastatic adenoid cystic carcinoma of the nostril, scheduled for embolization of an aneurysm of the left internal carotid artery (intracavernous segment). In the pre-anesthetic assessment, the patient had previous head and neck radiation, limited oral opening <1.5 cm, facial paralysis and previous maxilloethmoidectomy with ocular exenteration and reconstruction with an anterolateral paratracheal ALT flap stood out. Under appropriate topical anesthesia and sedation, intubation was made in an awake patient with an Airtraq® videolaryngoscope. In this case, it was the patient who performed the self-introduction of the videolaryngoscope to his maximum tolerance, achieving intubation, without a gag or cough reflex, bleeding associated with airway manipulation and with adequate patient satisfaction.

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Cite the Article:

Córdoba-Wagner MJ, Llinares-Espi L, De Miguel-Negro M. Patient-Assisted Self-Introduction of Airtraq® in a Difficult Airway Case. Ann Clin Case Rep. 2022; 7: 2275.