SavedAdd your journal

Journals / Anestezi Dergisi / 2002 / Cilt: 10 - Sayı: 4

Sevoflurane induction without muscle relaxant in two patients in which difficult intubation and ventilation are expected (Case report)

Ventilasyon ve entübasyonun zor olması beklenen 2 olguda kas gevşetici kullanılmaksızın sevofluran indüksiyonu uygulaması (Olgu sunumu)

Öztin Cemile ÖĞÜN
ATEŞ DUMAN
Çetin ÇELİK
Esma Nur KIRGIZ
Selmin ÖKESLİ
Pages
289–294
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Endotracheal intubation with sevoflurane induction without neuromuscular blockade may be an alternative in adult patients in which difficult intubation is expected.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Two emergency cases, one with morbid obesity and history of difficult intubation and the other with kyphoscoliosis, limited head-neck extension and additional skeletal anomalies are presented.
📊
Key Findings & Data:The patients were intubated without neuromuscular blockade under spontenous breathing with sevoflurane.
💡
Conclusion & Impact:Endotracheal intubation with sevoflurane induction without neuromuscular blockade may be an alternative in adult patients in which difficult intubation is expected.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Erişkin · Acil tedavi · Entübasyon

Abstract

Two emergency cases, one with morbid obesity and history of difficult intubation and the other with kyphoscoliosis, limited head-neck extension and additional skeletal anomalies are presented. The patients were intubated without neuromuscular blockade under spontenous breathing with sevoflurane. The quality of ventilation and intubation and hemodynamic reactions were recorded. Both patients were extubated at the end of the operation without any problems. The preparation, monitorization and procedure are discussed. Endotracheal intubation with sevoflurane induction without neuromuscular blockade may be an alternative in adult patients in which difficult intubation is expected.

Özet

Akut batın nedeniyle acil operasyona alınan, biri morbid obez ve zor entübasyon öyküsü olan, diğeri baş-boyun ekstansiyon kısıtlılığı ve kifoskolyoz ile ek iskelet anomalileri olan iki olgu sunuldu. Sevofluran ile kas gevşetici kullanılmaksızın ve spontan solunum korunarak olgular entübe edildi. Olguların havalandırılabilme, entübasyon kalitesi, hemodinamik yanıtları kaydedildi. Olgular operasyon sonunda sorunsuz olarak ekstübe edildiler. Maske ile havalandırılma ve entübasyonun zor olması beklendiği durumda yapılması gereken hazırlıklar, monitorizasyon ve yaklaşım tarzı ile izlenecek yollar tartışıldı. Sevofluran ile kas gevşetici kullanılmadan yapılan anestezi indüksiyonu, erişkinde zor ventilasyon ve entübasyon beklentisinde alternatif bir yöntem olarak düşünülebilir.

🔖

Cite This Article

ÖĞÜN, Ö. C., DUMAN, A., ÇELİK, Ç., KIRGIZ, E. N., ÖKESLİ, S. (2002). Sevoflurane induction without muscle relaxant in two patients in which difficult intubation and ventilation are expected (Case report). Anestezi Dergisi, Cilt: 10 - Sayı: 4, 289–294. https://ajindex.com/articles/355305

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (19)

  1. Caplan RA, Posner KL, Ward RJ, Cheney FW. Adverse respiratory events in anesthesia: a closed claims analysis. Anesthesiology 1990; 72:828-33
  2. Frerk CM. Predicting difficult intubation. Anaesthesia 1991; 46:1005-10
  3. Samsoon GLT, Young JRB. Difficult tracheal intubation: a resrospective study. Anaesthesia 1987; 42:487-90
  4. Butler PJ, Dhara SS. Predicting of difficult laryngoscopy: An assesment of the thyromental distance and Mallampati predictive tests. Anaesth Intens Care 1992; 20: 139-45
  5. Watters MP, McKenzi JM. Inhalational induction with sevoflurane in an adult with severe complex central airways obstruction. Anaesth Intensive Care 1997; 25:704-6
  6. Kandasamy R, Sivalingam P. Use of sevoflurane in difficult airways. Acta Anaesthesiol Scand 2000; 44:627-9
  7. Gupta S, Wilson JU. Sevoflurane for inhalational induction in patients in patients with anticipated difficult intubation. Acta Anaesthesiol Scand 1998; 42:1232-3
  8. Jackson D, Sidhu VS, Lomax DM. Sevoflurane-an alternative to routine use of suxamethonium in children. Anaesthesia 1997; 52:189-90
  9. Smith CE, Fallon WF. Sevoflurane mask anesthesia for urgent tracheostomy in an uncooperative trauma patient with a difficult airway. Can J Anaesth 2000; 47:242-5
  10. Nagata O, Tateoka A, Shiro R, Kimizuka M, Hanaoka K. Anaesthetic management of two paediatric patients with Hect-Beals syndrome. Paediatr Anaesth 1999; 9:444-7
  11. Ferra M, Vila P, Escudero A, Cruz J, Alvarez JC, Canet J, Monso E. Sevoflurane in airway management using fibrobronchoscopy: apropos of 2 difficult orotracheal intubation cases. Rev Esp Anestesiol Reanim 1999; 46:264-6
  12. MacIntyre PA, Ansari KA. Sevoflurane for predicted difficult tracheal intubation. Eur J Anaesthesiol 1998; 15:462-6
  13. Wang CY, Chiu CL, Delilkan AE. Sevoflurane for difficult intubation in children. Br J Anaesth 1997; 79:392-3
  14. Fenlon S, Pearce A. Sevoflurane induction and airway management. Anaesthesia 1997; 52:285-6
  15. Mallampati SR, Gatt SP, Gugino LD et al. A clinical sign to predict difficult tracheal intubation: a prospective study. Can Anaesth Soc 1985; 32:429-34
  16. Oates JDL, MacLeod AD, Oates PD, et al. Comparison of two methods for predicting difficult intubation in obstetric anaesthesia. Br J Anaesth 1991; 66:305-9
  17. Cormack RS, Lehane J. Difficult tracheal intubation in obstetrics. Anaesthesia 1996; 39:1105-11
  18. Knill L, Richard L. Difficult laryngoscopy made easy with a BURP. Can J Anaesth 1993; 40:279-83
  19. Shell