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Airway management in patients with deep neck infections A retrospective analysis

Title
Airway management in patients with deep neck infections A retrospective analysis
Authors
Cho, Soo YoungWoo, Jae HeeKim, Yoon JinChun, Eun HeeHan, Jong InKim, Dong YeonBaik, Hee JungChung, Rack Kyung
Ewha Authors
정락경한종인김동연백희정김윤진우재희천은희조수영
SCOPUS Author ID
정락경scopus; 한종인scopus; 김동연scopus; 백희정scopus; 김윤진scopus; 우재희scopus; 천은희scopus
Issue Date
2016
Journal Title
MEDICINE
ISSN
0025-7974JCR Link1536-5964JCR Link
Citation
vol. 95, no. 27
Keywords
airwayanesthesiadeep neck infections
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Indexed
SCI; SCIE; SCOPUS WOS scopus
Abstract
Securing the airway in patients undergoing surgical intervention to control a deep neck infection (DNI) is challenging for anesthesiologists due to the distorted airway anatomy, limited mouth opening, tissue edema, and immobility. It is critical to assess the risk of a potential difficult airway and prepare the most appropriate airway management method. We reviewed our anesthetic experiences managing patients with DNIs, focusing on the need for video-laryngoscope or awake fiberoptic intubation beyond a standard intubation from the anesthesiologist's perspective. When patients had infections in the masticatory space, mouth of floor, oropharyngeal mucosal space, or laryngopharynx, their airways tended to be managed using methods requiring more effort by the anesthesiologists, and more extensive equipment preparation, compared with use of a standard laryngoscope. The degree to which the main lesion influenced the airway anatomy, especially at the level of epiglottis and aryepiglottic fold was related to the airway management method selected. When managing the airways of patients undergoing surgery for DNIs under general anesthesia, anesthesiologists should use imaging with computed tomography to evaluate the preoperative airway status and a comprehensive understanding of radiological findings, comorbidities, and patients' symptoms is needed.
DOI
10.1097/MD.0000000000004125
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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