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Awake tracheal intubation with combined use of King Vision™ videolaryngoscope and a fiberoptic bronchoscope in a patient with giant lymphocele.
| Content Provider | Semantic Scholar |
|---|---|
| Author | El-Tahan, Mohamed R. Doyle, D. John Khidr, Alaa Mohamed Regal, Mohamed A. Morsy, Ayman B. El Mahdy, Mohamed El |
| Copyright Year | 2014 |
| Abstract | A 33 year-old, 160 cm, 106 kg gentleman with 7 years of progressively enlarged chest and neck swelling presented with orthopnea and dyspnea and was scheduled for lymphocele excision. The patient’s hemogram, electrolytes, creatinine, and liver tests were normal. Pulmonary function tests showed a mild restrictive pattern (FEV1 68%, FVC 78%, and FEV1/FVC 87% of predicted). A left anterior multi-cystic, non-tender chest wall swelling measuring 50 × 35 cm with dilated superficial veins was noted. This extended to surround the anterior neck as a collar and extended beyond the thyroid cartilage (Figures 1a and b). Neck movements were impossible, mouth opening was 3.5 cm, and the Mallampati score was II. Chest radiography showed a huge pedunculated leftsided chest wall mass extending to the neck, and compression of the middle third of the trachea. The trachea was deviated to the right (Figure 2). The lymphocele extended beyond the thyroid cartilage, precluding tracheostomy or suprasternal needle tracheotomy. CT demonstrated a large multiple loculated cystic mass arising from the chest wall superficial to the pectoralis muscles compressing the middle third of the trachea, obstructing approximately 40% of the tracheal lumen and extending beyond the thyroid cartilage. The major neck vessels and superior vena cava were patent (Figures 3a and 3b). |
| File Format | PDF HTM / HTML |
| PubMed reference number | 25669006 |
| Journal | Medline |
| Volume Number | 22 |
| Issue Number | 6 |
| Alternate Webpage(s) | http://www.meja.aub.edu.lb/downloads/22_6/609.pdf |
| Journal | Middle East journal of anaesthesiology |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
