• Guardo Laura Alonso LA Department of Anesthesiology and Perioperative Medicine, Health Center Complex, Salamanca, Paseo San Vicente, 88-182, 37007 Salamanca, Spain. Elect, Gala Carlos Cano CC Department of Trauma and Orthopedic Surgery, Health Center Complex, Salamanca, Paseo San Vicente, 88-182, 37007 Salamanca, Spain. Electronic address: , Antonio Rodriguez Calvo, Adriana M Buritica Aguirre, Nadia A Dávila Arango, Elena García Fernández, Carmen Ruiz Chirosa, Poveda David Sánchez DS Department of Anesthesiology and Perioperative Medicine, Health Center Complex, Salamanca, Paseo San Vicente, 88-182, 37007 Salamanca, Spain. Elec, and Agustín Díaz Álvarez.
• Department of Anesthesiology and Perioperative Medicine, Health Center Complex, Salamanca, Paseo San Vicente, 88-182, 37007 Salamanca, Spain. Electronic address: laguardo85@gmail.com.
• J Clin Anesth. 2016 Dec 1; 35: 411-414.

AbstractThe manipulation of an airway is always a critical moment in the anesthetic management of patients with pheochromocytoma due to the high incidence of undesirable hemodynamic events in relation with the stimulus represented by the laryngoscopy. A known difficult airway in which it is necessary to carry out an orotracheal intubation while preserving spontaneous ventilation subjects the patient to a stressful situation. The objective is to obtain an acceptable level of comfort and sedation avoiding respiratory depression (Anesthesiol Clin 2015;33:233-40). In this case, we describe the management of a known difficult airway in a patient with a pheochromocytoma and a personal history of arterial hypertension and chronic obstructive pulmonary disease who underwent orotracheal intubation with spontaneous ventilation with Airtraq and with dexmedetomidine as the only sedative agent.Copyright © 2016 Elsevier Inc. All rights reserved.

14 keywords...

hide…