Abstract：
BACKGROUND AND OBJECTIVES:Difficult airway management in thoracic surgeries is a peculiar subject due to the demands of monopulmonary ventilation with double-lumen tubes. Flexible bronchoscopy guidance is extremely important, but it is not always available. The objective of this report was to describe a case of retrograde selective orotracheal intubation in the absence of specific endoscopy equipment for the procedure. CASE REPORT:This is a patient with a history of retosigmoidectomy, admitted for a right thoracotomy for a lung lesion. Preoperative anesthetic evaluation did not reveal any clinical and physical exam particularities. After anesthetic induction and ventilation with face mask, two attempts of orotracheal intubation under direct laryngoscopy were ineffective due to difficult visualization of the vocal folds (Cormack-Lehane grade III). Due to the unavailability of specific material for selective endoscopic intubation it was decided to use the retrograde technique using the double-lumen tube. The patient was extubated in the operating room shortly after the end of the surgery without complications secondary to the alternative technique. CONCLUSIONS:Retrograde selective orotracheal intubation is a minimally invasive technique, low cost, safe, and extremely useful whenever flexible bronchoscopy is not available.
journal_name
Rev Bras Anestesioljournal_title
Revista brasileira de anestesiologiaauthors
Heck Jda R,Martins FK,Tsukazan MT,Cristofoli V,Pipkin M,da Silveira ML,Rios Jde O,Pinto JAdoi
10.1016/S0034-7094(11)70055-1subject
Has Abstractpub_date
2011-07-01 00:00:00pages
474-8issue
4eissn
0034-7094issn
1806-907Xpii
S0034-7094(11)70055-1journal_volume
61pub_type
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abstract：BACKGROUND AND OBJECTIVES:Off-pump CABG surgery is related to major and abrupt hemodynamic changes that may not be immediately detected by continuous cardiac output measurement (CCO). This study aimed at comparing results of cardiac index measurement with pulmonary artery catheter (PAC) with thermal filament (Baxter Ed...
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abstract：BACKGROUND AND OBJECTIVES:Moyamoya disease is an uncommon progressive cerebral vasculopathy, more frequently diagnosed among Asian individuals, but which has also been described in Brazil. Moyamoya patients may be submitted to different surgical procedures throughout their lives. Anesthesiologists must understand the p...
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更新日期：2005-06-01 00:00:00
abstract：:Electrosurgery is a technology developed over the last few years and has become a very important tool in modern surgery. Most of the equipment is considered safe, although there are risks related to its use. Several lesions may be caused by electrocautery, and burns are the most common and feared. We report two cases ...
journal_title：Revista brasileira de anestesiologia
pub_type： 杂志文章
doi：10.1016/j.bjan.2016.03.003
更新日期：2017-01-01 00:00:00
abstract：PURPOSE:Ischemia-reperfusion injury is one of the consequences of tourniquet application for extremity surgery. The aim of the study was to establish the effect of dexmedetomidine on the acute lung injury following lower extremity experimental ischemia-reperfusion model in rats. METHODS:Twenty-eight Wistar-Albino bree...
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