Chronic noncommunicable diseases as a risk factor for a difficult airway
DOI:
https://doi.org/10.35381/s.v.v8i15.3200Keywords:
Critically ill patients, physiological disorders, difficult airway in the operating room, (Source: DeCS)Abstract
Objective: To analyze health services in the management of difficult airway in the operating room from the report of a clinical case. Method: Presentation of a clinical case of a 49-year-old male patient with a diagnosis of diabetes mellitus II plus bilateral renal lithiasis, who was prepared for emergency surgery due to a life-threatening condition of gallbladder lithiasis and sepsis. Results and conclusion: The patient was prepared for emergency surgery because of gallbladder lithiasis and life-threatening sepsis, which was first managed under a conductive anesthetic technique, which had to be changed to general anesthesia during the surgical procedure, and which was complicated by the finding of a difficult-to-manage airway.
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Kornas RL, Owyang CG, Sakles JC, Foley LJ, Mosier JM. Evaluation and Management of the Physiologically Difficult Airway: Consensus Recommendations From Society for Airway Management. Anesth Analg. 2021;132(2):395-405. https://doi.org/10.1213/ane.0000000000005233
Figueroa-Uribe F, Flores-del Razo JO, Vega-Rangel V, Méndez-Trejo V, Ferrer-López M, González Chávez NA. Escalas predictoras para identificar vía aérea difícil en población pediátrica: su utilidad en el servicio de urgencias [Predictor scales to identify difficult airway in pediatric population: their usefulness in the emergency department]. Rev Mex Pediatr. 2019; 86(4):162-164. https://dx.doi.org/10.35366/SP194H
Ronquillo Guachamin DK, Quezada Miranda EL, Saltos Moran SE, González Mora SM. Alternativas a la intubación oro-traqueal ante una vía aérea difícil [Alternatives to orotracheal intubation in difficult airway conditions]. RECIMUNDO; 2020;4(1):26-8. https://doi.org/10.26820/recimundo/ 4.(1).enero.2020.26-38
Myatra SN, Shah A, Kundra P, et al. All India Difficult Airway Association 2016 guidelines for the management of unanticipated difficult tracheal intubation in adults. Indian J Anaesth. 2016;60(12):885-898. https://doi.org/10.4103/0019-5049.195481
Karamchandani K, Wheelwright J, Yang AL, Westphal ND, Khanna AK, Myatra SN. Emergency Airway Management Outside the Operating Room: Current Evidence and Management Strategies. Anesth Analg. 2021;133(3):648-662. https://doi.org/10.1213/ane.0000000000005644
Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet, 2012; 380(9859):2224-2260. https://doi.org/10.1016/S0140-6736(12)61766-8
Camargo RD. Transición de los cuidados curativos a cuidados paliativos en el enfermo con patología terminal crónica no transmisible o en el enfermo crítico crónico [Transition from curative to palliative care in the patient with chronic noncommunicable terminal pathology or in the chronically critically ill patient]. MEDICINA (Bogotá), 2014; 36(1): 80-84. https://n9.cl/r5b08
Hasan T, Islam A, Riva RAK, Rahman N, Ahmed S, Islam A, Shahid Ud Daula AFM. Phytochemicals from Zingiber capitatum rhizome as potential α-glucosidase, α-amylase, and glycogen phosphorylase inhibitors for the management of Type-II diabetes mellitus: Inferences from in vitro, in vivo and in-silico investigations. Arabian Journal of Chemistry, 2023; 16(10): 105128. https://doi.org/10.1016/j.arabjc.2023.105128
Darby JM, Halenda G, Chou C, Quinlan JJ, Alarcon LH, Simmons RL. Emergency Surgical Airways Following Activation of a Difficult Airway Management Team in Hospitalized Critically Ill Patients: A Case Series. J Intensive Care Med. 2018;33(9):517-526. https://doi.org/10.1177/ 0885066616680594
Alemdar D, Akesen S, Bilgin H. Retrospective Investigation of Difficult Airway Cases Encountered in Bursa Uludag˘ University Medical Faculty Operating Room. Turk J Anaesthesiol Reanim. 2023;51(2):121-127. https://doi.org/10.5152/tjar.2023.22213
Borde DP, Futane SS, Daunde V, et al. Are cardiac surgical patients at increased risk of difficult intubation? Indian J Anaesth. 2017;61(8):629-635. https://doi.org/10.4103/ija.ija_283_17
Patel AS, Wang A, Gonzalez-Ciccarelli L, Urman RD, Brovman EY. The Challenge of Difficult Airway Management in the Cardiac Operating Room. J Cardiothorac Vasc Anesth. 2022;36(6):1516-1518. https://doi.org/10.1053/j.jvca.2022.01.041
Song JA, Bae HB, Choi JI, Kang J, Jeong S. Difficult intubation and anesthetic management in an adult patient with undiagnosed congenital tracheal stenosis: a case report. J Int Med Res. 2020;48(4):300060520911267. https://doi.org/10.1177/0300060520911267
Kunovsky L, Tesarikova P, Sethi A, et al. Unusual Biliary Complication following Christmas Eve Dinner. Dig Dis. 2021;39(5):549-552. https://doi.org/10.1159/000514645
Yu Z, Lin W, Xu A, Liu C, Li H, Huang P. Percutaneous Nephrolithotomy under Local Infiltration Anesthesia in Kneeling Prone Position for a Patient with Spinal Deformity. Acta Med Okayama. 2020;74(2):175-178. https://doi.org/10.18926/AMO/58278
Calamari K, Politano S, Brannan Z, Rygalski C, Matrka L. Predictive value of difficult airway identifiers for intubation-related complications in the emergency department. Laryngoscope Investig Otolaryngol. 2021;6(6):1474-1480. https://doi.org/10.1002/lio2.674
Driver BE, Prekker ME, Klein LR, et al. Effect of Use of a Bougie vs Endotracheal Tube and Stylet on First-Attempt Intubation Success Among Patients with Difficult Airways Undergoing Emergency Intubation: A Randomized Clinical Trial. JAMA. 2018;319(21):2179-2189. https://doi.org/10.1001/jama.2018.6496
Cetgen N, Ener D, Dogukan M, Duran M, Uludag O. Perfusion Index Value in Determining the Success of Axillary Block. J Coll Physicians Surg Pak. 2022;32(9):1105-1109. https://doi.org/10.29271/jcpsp.2022.09.1105
Warsinggih, Mudatsir, Arsyad A, Faruk M. Gallbladder perforation: A rare case report. Int J Surg Case Rep. 2023;104:107927. https://doi.org/10.1016/j.ijscr.2023.107927
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