Oxygen insufflation via working channel in a fiberscope is a useful method: A case report and review of literature.


BACKGROUND:Fiberoptic bronchoscopic intubation is the gold standard for endotracheal intubation in difficult or compromised airway situations. However, oxygen insufflation through the working channel of a fiberscope is a controversial method because of the possibility of gastric distention and rupture during an awake fiberoptic bronchoscopic intubation, despite the advantages of preventing fogging of the fiberoptic bronchoscopic lens, blowing oral secretions away, and oxygenation of patients. CASE SUMMARY:Here, we describe a case of cervical instability where we rapidly performed fiberoptic bronchoscopic intubation using oxygen insufflation through working channel of the broncoscopy to administer general anesthesia after two previous failures due to low visibility. A 50-year-old man with a non-specific medical history underwent emergency cervical spine surgery for posterior fusion of the C2 and C3 vertebrae. After two unsuccessful attempts at intubation using the fiberoptic broncoscopy, we performed it successfully using the oxygen insufflation via the working channel, instead of using suction to remove the secretion from the lens. CONCLUSION:Oxygen insufflation via the working channel of the broncoscopy is a useful method for assisting with difficult intubation cases.


World J Clin Cases


Lee D,Baik J,Yun G,Kim E




Has Abstract


2018-12-26 00:00:00










  • Relapsing polychondritis with p-ANCA associated vasculitis: Which triggers the other?

    abstract::Relapsing polychondritis (RP) is a rare autoimmune disease with chronic inflammatory/destructive lesions of the cartilaginous tissues. In one third of the cases it is associated with other autoimmune disorders, mostly with anti-neutrophil cytoplasmic antibody (ANCA) associated vasculitis (AAV). We report three cases o...

    journal_title:World journal of clinical cases



    authors: File I,Trinn C,Mátyus Z,Ujhelyi L,Balla J,Mátyus J

    更新日期:2014-12-16 00:00:00

  • Accuracy study of a binocular-stereo-vision-based navigation robot for minimally invasive interventional procedures.

    abstract:BACKGROUND:Medical robot is a promising surgical tool, but no specific one has been designed for interventional treatment of chronic pain. We developed a computed tomography-image based navigation robot using a new registration method with binocular vision. This kind of robot is appropriate for minimal invasive interve...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Wang R,Han Y,Luo MZ,Wang NK,Sun WW,Wang SC,Zhang HD,Lu LJ

    更新日期:2020-08-26 00:00:00

  • Treatment of afferent loop syndrome using fluoroscopic-guided nasointestinal tube placement: Two case reports.

    abstract:BACKGROUND:Afferent loop syndrome (ALS) is a rare mechanical complication that occurs after reconstruction of the stomach or esophagus to the jejunum, such as Billroth II gastrojejunostomy, Roux-en-Y gastrojejunostomy, or Roux-en-Y esophagoje-junostomy. Traditionally, an operation is the first choice for benign causes....

    journal_title:World journal of clinical cases



    authors: Hu HT,Ma FH,Wu ZM,Qi XH,Zhong YX,Xie YB,Tian YT

    更新日期:2020-11-06 00:00:00

  • Pancreaticoduodenectomy with combined superior mesenteric vein resection without reconstruction is possible: A case report and review of the literature.

    abstract::We report the case of a 56-year-old woman with pancreatic adenocarcinoma (PA) discovered during an episode of febrile jaundice. A computed tomography (CT) scan showed a mass in the head of the pancreas with circumferential infiltration of the superior mesenteric vein (SMV) and dilatation of the biliary and pancreatic ...

    journal_title:World journal of clinical cases



    authors: Jouffret L,Guilbaud T,Turrini O,Delpero JR

    更新日期:2018-08-16 00:00:00

  • Laparoscopic hysterectomy as optimal approach for 5400 grams uterus with associated polycythemia: A case report.

    abstract:BACKGROUND:Uterine myomas are the most common benign gynecological soft tissue tumors in women but polycythemia associated with these tumors is rare. Polycythemia is significantly associated with risk of venous thromboembolism (VTE), which is further increased in case of a large pelvic mass and obesity. Here we report ...

    journal_title:World journal of clinical cases



    authors: Macciò A,Chiappe G,Lavra F,Sanna E,Nieddu R,Madeddu C

    更新日期:2019-10-06 00:00:00

  • Adult-onset mitochondrial encephalopathy in association with the MT-ND3 T10158C mutation exhibits unique characteristics: A case report.

    abstract:BACKGROUND:Mitochondrial diseases are a heterogenous group of multisystemic disorders caused by genetic mutations affecting mitochondrial oxidation function. Brain involvement is commonly found in most cases but rarely as the unique clinical manifestation. Since the knowledge of its clinical manifestation combined with...

    journal_title:World journal of clinical cases



    authors: Fu XL,Zhou XX,Shi Z,Zheng WC

    更新日期:2019-05-06 00:00:00

  • Coexistence of ovarian serous papillary cystadenofibroma and type A insulin resistance syndrome in a 14-year-old girl: A case report.

    abstract:BACKGROUND:Type A insulin resistance syndrome is a rare disorder caused by mutations in the gene encoding the insulin receptor. Its coexistence with ovarian serous papillary cystadenofibroma is even rarer. CASE SUMMARY:A 14-year-old girl developed type A insulin resistance syndrome and showed high fasting insulin, glu...

    journal_title:World journal of clinical cases



    authors: Yan FF,Huang BK,Chen YL,Zhuang YZ,You XY,Liu CQ,Li XJ

    更新日期:2020-08-06 00:00:00

  • Elevated levels of interleukin-1β, interleukin-6, tumor necrosis factor-α and vascular endothelial growth factor in patients with knee articular cartilage injury.

    abstract:BACKGROUND:Inflammatory cytokines play a vital role in the occurrence of osteoarticular injury and inflammation. Whether inflammation-associated factors interleukin-1β (IL-1β), IL-6, tumor necrosis factor-α (TNF-α) and vascular endothelial growth factor (VEGF) are involved in the pathogenesis of keen articular cartilag...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Wang ZW,Chen L,Hao XR,Qu ZA,Huang SB,Ma XJ,Wang JC,Wang WM

    更新日期:2019-06-06 00:00:00

  • Marjolin's ulcers in the post-burned lesions and scars.

    abstract::Marjolin's ulcer (MU) represents malignant degeneration that typically ensues over a period of time in the post-burned lesions and scars or any other chronic wound. This review highlights various facets of the presentation and management of MUs that originate from post-burned lesions. The incidence of MUs in such lesi...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章,评审


    authors: Saaiq M,Ashraf B

    更新日期:2014-10-16 00:00:00

  • TFE3-expressing malignant perivascular epithelioid cell tumor of the mesentery: A case report and review of literature.

    abstract:BACKGROUND:Perivascular epithelioid cell tumor (PEComa) is a rare mesenchymal tumor that exhibits an epithelioid and spindle cell morphology. The tumor is characterized by immunoreactivity for melanocytic and myogenic markers but can be misdiagnosed as more common tumors with similar characteristics, including gastroin...

    journal_title:World journal of clinical cases



    authors: Kim NI,Lee JS,Choi YD,Ju UC,Nam JH

    更新日期:2020-09-26 00:00:00

  • Primary chondrosarcoma of the liver: A case report.

    abstract:BACKGROUND:Primary chondrosarcoma of the liver are extremely rare. Moreover, there are few reports focusing on typical clinical symptoms and imaging characteristics. Therefore, the diagnosis of chondrosarcoma of the liver remains a challenge. CASE SUMMARY:A 59-year-old male was admitted due to a lesion occupying the r...

    journal_title:World journal of clinical cases



    authors: Liu ZY,Jin XM,Yan GH,Jin GY

    更新日期:2020-10-26 00:00:00

  • Correlation between crowdedness in emergency departments and anxiety in Chinese patients.

    abstract:BACKGROUND:Emergency department (ED) overcrowding is a severe health care concern, while anxiety and depression rates among ED patients have been reported to be substantially higher compared to the general population. We hypothesized that anxiety due to over crowdedness may lead to adverse events in EDs. AIM:To invest...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Wang S,Gao JY,Li X,Wu Y,Huo XX,Han CX,Kang MJ,Sun H,Ge BL,Liu Y,Liu YQ,Zhou JP,Wang Z

    更新日期:2020-07-06 00:00:00

  • Homozygous factor V Leiden mutation in type IV Ehlers-Danlos patient.

    abstract::Ehlers-Danlos syndrome (EDS) is a group of inherited connective tissue disorders caused by collagen synthesis defects. Several hemostatic abnormalities have been described in EDS patients that increase the bleeding tendencies of these patients. This case report illustrates a patient with an unusual presentation of a p...

    journal_title:World journal of clinical cases



    authors: Refaat M,Hotait M,Winston B

    更新日期:2014-03-16 00:00:00

  • Myocardial bridge-related coronary heart disease: Independent influencing factors and their predicting value.

    abstract:BACKGROUND:Myocardial bridge (MB) will compress the mural coronary artery (MCA) during the systole and cause myocardial ischemia. In the diagnosis of coronary heart disease (CHD), because the structure of MB is difficult to be observed by coronary angiography (CAG), the clinical study of the influence of MB on CHD is l...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Zhao DH,Fan Q,Ning JX,Wang X,Tian JY

    更新日期:2019-08-06 00:00:00

  • Colovesical fistula as the initial manifestation of advanced colon cancer: A case report and review of literature.

    abstract::Colovesical fistulas (CVFs) are rare complications of very advanced cancers of the abdominal or pelvic cavity and often cause diagnostic troubles. CVFs are found more often in males, whereas females usually suffer from rectovaginal or vesicovaginal fistulas. This article presents a case of a female patient who was adm...

    journal_title:World journal of clinical cases



    authors: Skierucha M,Barud W,Baraniak J,Krupski W

    更新日期:2018-10-26 00:00:00

  • Biological therapy for dermatological manifestations of inflammatory bowel disease.

    abstract::Ulcerative colitis and Crohn's disease are the two forms of inflammatory bowel disease (IBD). The advent of biological drugs has significantly changed the management of these conditions. Skin manifestations are not uncommon in IBD. Among the reactive lesions (immune-mediated extraintestinal manifestations), erythema n...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章,评审


    authors: Zippi M,Pica R,De Nitto D,Paoluzi P

    更新日期:2013-05-16 00:00:00

  • Choice and management of negative pressure drainage in anterior cervical surgery.

    abstract:BACKGROUND:Postoperative unobstructed drainage is an important measure for avoiding hematoma formation and preventing complications from anterior cervical surgery. AIM:To discuss the characteristics and key points of clinical management of two types of commonly used negative pressure drainage systems in clinical setti...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Su QH,Zhu K,Li YC,Chen T,Zhang Y,Tan J,Guo S

    更新日期:2020-06-06 00:00:00

  • Relationship between homocysteine level and prognosis of elderly patients with acute ischemic stroke treated by thrombolysis with recombinant tissue plasminogen activator.

    abstract:BACKGROUND:Acute ischemic stroke (AIS) is mainly caused by cerebral blood flow disorders, which further leads to ischemic brain necrosis or encephalomalacia. The role of homocysteine (Hcy), an independent risk factor for cardiovascular disease, in the development of atherosclerosis is gradually revealed. However, studi...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Li J,Zhou F,Wu FX

    更新日期:2019-11-26 00:00:00

  • Healthy neonate born to a SARS-CoV-2 infected woman: A case report and review of literature.

    abstract:BACKGROUND:Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a newly discovered coronavirus that has generated a worldwide outbreak of infections. Many people with coronavirus disease-2019 (COVID-19) have developed severe illness, and a significant number have died. However, little is known regarding infe...

    journal_title:World journal of clinical cases



    authors: Wang RY,Zheng KQ,Xu BZ,Zhang W,Si JG,Xu CY,Chen H,Xu ZY,Wu XM

    更新日期:2020-12-06 00:00:00

  • Splenic hamartoma: A case report and review of the literature.

    abstract::Splenic hamartoma is a rare benign malformation, composed of an anomalous mixture of normal splenic elements, often found incidentally while working up other complaints or at autopsy. A splenic mass was incidentally found while evaluating the effects of a traffic accident in a 63-year-old woman. Abdominal computed tom...

    journal_title:World journal of clinical cases



    authors: Sim J,Ahn HI,Han H,Jun YJ,Rehman A,Jang SM,Jang K,Paik SS

    更新日期:2013-10-16 00:00:00

  • Dysbetalipoproteinemia: Two cases report and a diagnostic algorithm.

    abstract::Dysbetalipoproteinemia is a rare familial dyslipidemia characterized by approximately equally elevated serum cholesterol and triglyceride levels due to accumulated remnant lipoproteins in apolipoprotein E2/E2 homozygotes. It is associated with an increased risk for premature cardiovascular disease. Thus, making a diag...

    journal_title:World journal of clinical cases



    authors: Kei A,Miltiadous G,Bairaktari E,Hadjivassiliou M,Cariolou M,Elisaf M

    更新日期:2015-04-16 00:00:00

  • Bouveret syndrome: A case report.

    abstract:BACKGROUND:Bouveret syndrome is a rare complication of cholelithiasis, with only 315 cases reported in the literature between 1967 and 2016. Delay in diagnosis is associated with a high mortality rate. Diagnosis is based upon clinical manifestations, gastroscopy, and imaging studies such as abdominal computed tomograph...

    journal_title:World journal of clinical cases



    authors: Wang F,Du ZQ,Chen YL,Chen TM,Wang Y,Zhou XR

    更新日期:2019-12-06 00:00:00

  • Hodgkin's lymphoma coexisting with liver failure secondary to acute on chronic hepatitis B.

    abstract::Acute on chronic liver failure (ACLF) is rarely the initial manifestation of a malignant process or precipitated by the initiation of anti-viral treatment with a nucleoside or nucleotide agent. We report an unusual case of ACLF temporally associated with initiation of Entecavir for treatment of chronic hepatitis B. Ea...

    journal_title:World journal of clinical cases



    authors: Palta R,McClune A,Esrason K

    更新日期:2013-04-16 00:00:00

  • Severe isolated sciatic neuropathy due to a modified lotus position.

    abstract::A 51-year-old man presented to our hospital with progressive pain and weakness in his right leg. Neurological examination revealed atrophy of all muscles of the right leg, unilateral foot drop and paralysis of the anterior tibial and gastrocnemicus muscles. Electromyography confirmed a severe isolated sciatic neuropat...

    journal_title:World journal of clinical cases



    authors: Bosma JW,Wijntjes J,Hilgevoord TA,Veenstra J

    更新日期:2014-02-16 00:00:00

  • Transcatheter aortic valve implantation in a 54-year-old patient with aggressive HIV.

    abstract::We report a case of a 54-year-old patient who was denied surgical replacement for severe aortic stenosis because of complicated acquired immunodeficiency syndrome and who successfully underwent transcatheter aortic valve implantation at our institution. ...

    journal_title:World journal of clinical cases



    authors: Salizzoni S,D'Ascenzo F,Moretti C,Bonora S,Calcagno A,Omedè P,Montrucchio C,Cerrato E,Colaci C,Sheiban I,Marra S,Rinaldi M,Gaita F

    更新日期:2014-04-16 00:00:00

  • Non-invasive home lung impedance monitoring in early post-acute heart failure discharge: Three case reports.

    abstract:BACKGROUND:Patients discharged after hospitalization for acute heart failure (AHF) are frequently readmitted due to an incomplete decongestion, which is difficult to assess clinically. Recently, it has been shown that the use of a highly sensitive, non-invasive device measuring lung impedance (LI) reduces hospitalizati...

    journal_title:World journal of clinical cases



    authors: Lycholip E,Palevičiūtė E,Aamodt IT,Hellesø R,Lie I,Strömberg A,Jaarsma T,Čelutkienė J

    更新日期:2019-04-26 00:00:00

  • Large carotid body tumor successfully resected in hybrid operating theatre: A case report.

    abstract:BACKGROUND:Surgical treatment for large carotid body tumor (CBT), particularly the Shamblin III type, is challenging and rarely reported. CASE SUMMARY:In July 2014, a 63-year-old woman presented to our hospital with a large CBT (130 mm × 60 mm × 70 mm). The lesion was hypervascular, spanned from the first to the seven...

    journal_title:World journal of clinical cases



    authors: Li MQ,Zhao Y,Sun HY,Yang XY

    更新日期:2019-08-26 00:00:00

  • Rescue treatment and follow-up intervention of a left main acute myocardial infarction with typical carina shift under 3D optical coherence tomography: A case report.

    abstract:BACKGROUND:Coronary intervention for bifurcation lesions is still challenging for interventional cardiologists. Left main (LM) bifurcation lesions have a higher risk due to the vast blood supply in this area and treatment choice is difficult. Ostial compromise of the side branch decreases patient prognosis, and its man...

    journal_title:World journal of clinical cases



    authors: Du BB,Tong YL,Wang XT,Liu GH,Liu K,Yang P,He YQ

    更新日期:2020-02-26 00:00:00

  • Application of endoscopic submucosal dissection in duodenal space-occupying lesions.

    abstract:BACKGROUND:Endoscopic submucosal dissection (ESD) has been advocated by digestive endoscopists because of its comparable therapeutic effect to surgery, reduced trauma, faster recovery, and fewer complications. However, ESD for lesions of the duodenum is more challenging than those occurring at other levels of the gastr...

    journal_title:World journal of clinical cases

    pub_type: 杂志文章


    authors: Li XY,Ji KY,Qu YH,Zheng JJ,Guo YJ,Zhang CP,Zhang KP

    更新日期:2020-12-26 00:00:00

  • Trans-sacral screw fixation in the treatment of high dyplastic developmental spondylolisthesis.

    abstract::We describe the case of a 67-year-old woman with L5-S1 ontogenetic spondylolisthesis treated with pedicle fixation associated with interbody arthrodesis performed with S1-L5 trans-sacral screwing according to the technique of Bartolozzi. The procedure was followed by a wide decompressive laminectomy. The patient had a...

    journal_title:World journal of clinical cases



    authors: Landi A,Marotta N,Mancarella C,Tarantino R,Delfini R

    更新日期:2013-06-16 00:00:00