Revista española de anestesiología y reanimación
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Rev Esp Anestesiol Reanim · Nov 2009
[Management of the easy or complicated airway by nonexperts using the AirTraq optical laryngoscope].
To evaluate the utility of the AirTraq optical laryngoscope in a retrospective case series, assessing indications for use and benefits as well as possible limitations. ⋯ The AirTraq laryngoscope has been shown to facilitate intubation even when nonexpert staff perform the maneuver in cases in which previous attempts at laryngoscopy have failed and in which a difficult airway is anticipated. Ease of use and relative safety make the AirTraq a practical device for a variety of patient types and clinical settings.
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Rev Esp Anestesiol Reanim · Nov 2009
Case Reports[Anesthesia for cesarean section in a patient with recessive dystrophic epidermolysis bullosa].
Recessive dystrophic epidermolysis bullosa is inherited as a rare autosomal disorder which causes blisters to form in the skin. We describe the treatment of a 39-year-old parturient with this condition. She was scheduled for elective cesarean section at 37 weeks' gestation. ⋯ The cesarean was performed under spinal anesthesia without complications. Recessive dystrophic epidermolysis bullosa requires adaptation of anesthetic technique that includes control over posture and careful handling of the skin. Material for attaching monitoring devices and inserting venous lines must be adapted to the particular deformities and skin lesions present.
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Rev Esp Anestesiol Reanim · Nov 2009
[Use of the AirTraq device to manage difficult intubation in the awake patient].
To assess successful intubation, hemodynamic and respiratory stability, and patient wellbeing during awake orotracheal intubation using the AirTraq device in patients anticipated to have difficult airways. ⋯ The AirTraq can be used for awake intubation in cases of anticipated difficult airway when other approaches to intubation have failed or are not viable. Intubation is achieved successfully and hemodynamic and respiratory stability maintained. The device is well tolerated. An advantage of the AirTraq is that it allows the glottis to be visualized as the endotracheal tube is being inserted between the vocal cords so damage can be minimized.
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Rev Esp Anestesiol Reanim · Nov 2009
Letter Case Reports[Unanticipated difficult airway: lingual tonsil hypertrophy].