|
KMID : 0352120200350010056
|
|
Journal of Kyung Hee University
2020 Volume.35 No. 1 p.56 ~ p.61
|
|
|
Successful Intubation using Angulated Video Laryngoscopy and a Back-up Head-elevated Position in a Patient with Diffuse Idiopathic Skeletal Hyperostosis: A Case Report
|
|
Chun Eun-Hee
Chung Mi-Hwa
Choi Eun-Mi
Kim Jung-Eun
Jun In-Jung
Park Jong-Hee
Hyeon Joon-Sang
Jun Joo-Hyun
|
|
|
Abstract
|
|
|
|
Ligamentous ossification of the anterolateral spine is characteristic of diffuse idiopathic skeletal hyperostosis (DISH; i.e., ankylosing hyperostosis or Forestier’s disease). Cervical spine involvement can make airway management difficult during intubation. A patient with a history of impossible intubation resulting from the presence of large anterior cervical osteophytes presented for removal of the osteophytes. Preoperative diagnostic imaging revealed a larynx anteriorly displaced by osteophytes. The osteophytes were on the anterior surfaces of the third to seventh cervical vertebrae. Successful intubation was performed using an angulated curved video laryngoscope and a back-up head-elevated position (BUHE). The angulated curved video laryngoscope and BUHE position provided a good laryngeal view in a patient with DISH who had a larynx with osteophyte-associated anterior displacement. We suggest that these methods are an alternative for anesthesiologists during airway management of patients with difficult intubation.
|
|
|
KEYWORD
|
|
|
Airway management, Difficult intubation, Diffuse idiopathic skeletal hyperostosis, Angulated curved video laryngoscope, Back-up head-elevated position
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
|
|