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- W2783287779 abstract "Mask ventilation, the first step in airway management, is a rescue technique when endotracheal intubation fails. Therefore, ordinary airway management for the induction of general anesthesia cannot be conducted in the situation of difficult mask ventilation (DMV). Here, we report a case of awake intubation in a patient with a huge orocutaneous fistula. A 58-year-old woman was scheduled to undergo a wide excision, reconstruction with a reconstruction plate, and supraomohyoid neck dissection on the left side and an anterolateral thigh flap due to a huge orocutaneous fistula that occurred after a previous mandibulectomy and flap surgery. During induction, DMV was predicted, and we planned an awake intubation. The patient was sedated with dexmedetomidine and remifentanil. She was intubated with a nasotracheal tube using a video laryngoscope, and spontaneous ventilation was maintained. This case demonstrates that awake intubation using a video laryngoscope can be as good as a fiberoptic scope." @default.
- W2783287779 created "2018-01-26" @default.
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- W2783287779 date "2017-01-01" @default.
- W2783287779 modified "2023-09-25" @default.
- W2783287779 title "Awake intubation in a patient with huge orocutaneous fistula: a case report" @default.
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- W2783287779 doi "https://doi.org/10.17245/jdapm.2017.17.4.313" @default.
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