Publication
Synergic Difficulties in an Anticipated Physiologically and Anatomically Difficult Airway in a Trauma Patient: A Case Report
| dc.contributor.author | Martins Lima, Patrícia | |
| dc.contributor.author | Adams, Mariana | |
| dc.contributor.author | Pinto, Sérgio G | |
| dc.contributor.author | Mexedo, Carlos | |
| dc.date.accessioned | 2024-06-18T10:27:26Z | |
| dc.date.available | 2024-06-18T10:27:26Z | |
| dc.date.issued | 2023-12 | |
| dc.description.abstract | The American Society of Anesthesiologists (ASA) defines a difficult airway as a clinical situation in which a physician who is trained in anesthesiology experiences difficulty or fails in either face mask ventilation, laryngoscopy, using a supraglottic airway, tracheal intubation, extubation, or front-of-neck airway. Classically, this has been defined in relation to anatomic factors, but the concept of a physiologically difficult airway has been growing in relevance, in which physiologic factors, such as hypoxemia and hypercapnia, act to reduce safe apnea times. The case reports on a trauma patient with an unstable thoracic vertebral fracture requiring correction via the posterior approach. Our patient had multiple anatomical difficult airway predictors, namely, a short neck, greatly limited neck mobility, and a Mallampati class IV airway, among others, and multiple physiological difficult airway predictors, such as a baseline hypoxemic respiratory failure and severe sleep apnea, in addition to the restrictions on mobility imposed by the fracture itself. We describe a successful perioxygenation strategy, using high-flow nasal oxygen (HFNO) during the preoxygenation, intubation, extubation, and post-anesthesia care phases, and with an awake fiberoptic intubation technique for securing the airway. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Martins Lima P, Adams M, Pinto SG, Mexedo C. Synergic Difficulties in an Anticipated Physiologically and Anatomically Difficult Airway in a Trauma Patient: A Case Report. Cureus. 2023;15(12):e50735. doi:10.7759/cureus.50735 | pt_PT |
| dc.identifier.doi | 10.7759/cureus.50735 | pt_PT |
| dc.identifier.issn | 2168-8184 | |
| dc.identifier.uri | http://hdl.handle.net/10400.16/2957 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Cureus, Inc. | pt_PT |
| dc.relation.publisherversion | https://www.cureus.com/articles/192208-synergic-difficulties-in-an-anticipated-physiologically-and-anatomically-difficult-airway-in-a-trauma-patient-a-case-report#!/ | pt_PT |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | pt_PT |
| dc.subject | awake intubation | pt_PT |
| dc.subject | difficult airway management | pt_PT |
| dc.subject | high-flow nasal oxygen | pt_PT |
| dc.subject | trauma anesthesia | pt_PT |
| dc.subject | traumatic spinal fracture | pt_PT |
| dc.title | Synergic Difficulties in an Anticipated Physiologically and Anatomically Difficult Airway in a Trauma Patient: A Case Report | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.conferencePlace | United States of America | pt_PT |
| oaire.citation.issue | 12 | pt_PT |
| oaire.citation.startPage | e50735 | pt_PT |
| oaire.citation.title | Cureus | pt_PT |
| oaire.citation.volume | 15 | pt_PT |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |
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