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Acta Anaesthesiol Taiwan · Jun 2014
Case ReportsGlideScope-assisted fiberoptic bronchoscope intubation in a patient with severe rheumatoid arthritis.
- Jianteng Gu, Keping Xu, Jiaolin Ning, Bin Yi, and Kaizhi Lu.
- Department of Anesthesiology, Southwest Hospital, Third Military Medical University, Chongqing, China.
- Acta Anaesthesiol Taiwan. 2014 Jun 1; 52 (2): 85-7.
AbstractHere, we report that, under the assistance of both the GlideScope and a fiberoptic bronchoscope, tracheal intubation was accomplished successfully in a 50-year-old woman with severe rheumatoid arthritis who underwent tongue lump resection under general anesthesia. Either the GlideScope or the fiberoptic bronchoscope alone failed to secure the airway; the use of both in combination facilitated airway intubation. This case report indicate that, even with careful preoperative assessment, patients who suffer from rheumatoid arthritis may have severe airway difficulty with intubation, and the combined use of the GlideScope and a fiberoptic bronchoscope can be a novel alternative for tracheal intubation in patients with severe airway difficulty. Copyright © 2014. Published by Elsevier B.V.
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