Masui. The Japanese journal of anesthesiology
-
A 46-year-old woman with cervical disc herniation underwent C4-6 laminoplasty and C4-5 foraminotomy under general anesthesia. The patient complained of the tongue deviation toward the right after surgery. ⋯ The cause of hypoglossal nerve palsy was assumed to be possibly direct compression of the hypoglossal nerve by the tracheal tube. In prone position surgery, it is important to take care of pressure to the tongue because the intraoral space tends to be reduced by edema of the face and neck.
-
Awake intubation preserving spontaneous ventila- tion, is essential for managing difficult airways, and is recommended by the guidelines of the American Soci- ety of Anesthesiologists. The main indication includes anatomically difficult airways, full stomach, cervical instability, and vital signs indicative of shock. ⋯ Various new airway devices and sedatives are currently avail- able, and anesthesiologists should be familiar with their strengths and limitations. Training for awake intuba- tion should include a combination of clinical experience and simulation training.