• Rev Esp Anestesiol Reanim · Jun 2011

    Case Reports

    [Orotracheal intubation of patients with acromegaly using the AirTraq laryngoscope].

    • M Castañeda Pascual, C Navarro García, M Batllori Gastón, María P Anadón Senac, J Arrondo Nicolás, and M P Martín Vizcaíno.
    • Servicio de Anestesiologia, Reanimación y Terapia del Dolor, Complejo Hospitalario de Navarra, Navarra. mcastapas@hotmail.com
    • Rev Esp Anestesiol Reanim. 2011 Jun 1;58(6):384-6.

    AbstractAn excess of growth hormone is responsible for the phenotypical characteristics of acromegaly. Tissue hypertrophy and growth also affect the airway, potentially making perioperative management difficult. If tests to foresee the likelihood of difficult airway have limitations affecting their sensitivity, specificity and predictive value even in the normal population, their reliability in patients with acromegaly is still more doubtful. At this time, videoassisted or optical laryngoscopes can offer a way to facilitate intubation in these patients. We report 3 cases in which the AirTraq optical laryngoscope was used to gain a full view of the vocal cords in acromegalic patients scheduled for pituitary surgery by the transsphenoidal route.

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