Volume 26, Issue 125, July 2022

Difficult airway management of 17 years old patient with Osteosarcoma of jaw

Nitin R Alaspurkar¹, Vijay Chanadak², Aruna Chandak³, Vivek Chakole⁴, Jayashree Sen⁵, Nikhil Bhalerao⁶, Sanjot Ninave⁷

¹Junior resident 3rd year, Department of Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science, Maharashtra, India
²Associate Professor, Department of Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science, Maharashtra, India
³Professor, Department of Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science, Maharashtra, India
⁴Professor and Head, Department of Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science, Maharashtra, India
⁵Professor, Department of Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science, Maharashtra, India
⁶Assistant Professor, Department of Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science, Maharashtra, India
⁷Professor, Department of Anaesthesiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Science, Maharashtra, India

ABSTRACT

The management of a problematic airway is one of the most critical tasks for an anaesthesiologist. Airway issues are one of the most common causes of anaesthesia-related morbidity and mortality. Poor airway management has been recognised as a serious patient safety issue for nearly three decades, emphasising the significance of a comprehensive airway assessment before to anaesthesia induction.Mask ventilation and endotracheal intubation are considered challenging in patients with osteosarcoma of the jaw, where the mass protrudes from the mouth. Video laryngoscopic equipment, retrograde intubation, the laryngeal mask airway, Fibreoptic bronchoscope-guided intubation, and the pliable fibre optic stylet are among the procedures and equipment used to facilitate tracheal intubation in patients who are expected to have a difficult intubation. Anesthetists as well as surgeon prefer awake fibreoptic endotracheal intubation. Fiberoptic intubation with sedatives and local anaesthetics is a safe procedure for securing the airway in a difficult situation; even if the patient does not consent to an awake intubation. Here we report airway management of a 17 years old patient with osteosarcoma of jaw.

Keywords: Difficult airway, awake intubation, Fibreoptic bronchoscope, Osteosarcoma

Medical Science, 2022, 26, ms294e2178

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DOI: https://doi.org/10.54905/disssi/v26i125/ms294e2178

Published: 20 July 2022