Volume : X, Issue : VIII, August - 2020

UNANTICIPATED DIFFICULT AIRWAY IN ROUTINE SURGERY CASE

Kanhaiya Lal Kishnani, Sanjay P Dave, Ashwini Choudhary

Abstract :

Sometimes situation may arise when even well trained anaesthesiologist finds difficulty in ventilating the patient with bag–mask or difficulty in tracheal intubation or both. We are reporting a case with no anticipation of difficult airway with can’t ventilate situation. Male patient of 47 years of age was posted for Lumber Laminectomy in prone position under G.A. in prone position Routine pre–anaesthetic check up was done. The clinical history and physical examination findings did not indicate any finding which can anticipate difficult airway. On arrival in O.T. monitoring including Pulse oximeter, E.C.G. NIBP, EtCO2 were connected. Ringer Lactate was started after I/V canulation. I/V Propofol 100 mg was given, patient went into apnoea and there was stony hard feel on squeezing the bag for bag–mask ventilation. It was observed on Laryngoscopy that anterior surface of Epiglottis (Upper view of Epiglottis while patient lying down) had prominent blood vessels and upper margin of epiglottis was touching posterior wall of pharynx, which was leaving very little, almost no space for air to pass to larynx. Possibly this was thought to be reason for stony hard bag. The patient was intubated after lifting the epiglottis with styleted tube, the case was conducted in prone position. The subsequent anaesthesia and surgical procedures were uneventful.

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Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

UNANTICIPATED DIFFICULT AIRWAY IN ROUTINE SURGERY CASE, KANHAIYA LAL KISHNANI, SANJAY P DAVE, ASHWINI CHOUDHARY INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-8 | August-2020

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