TACTICS OF TRACHEAL INTUBATION IN PATIENT WITH TUMOR OF TONGUE BASE
Zaitsev A.Yu.
1,2
, SvetlovV.A.
1,2
, DubrovinK.V.
2
,KozhevnikovV.A.
2
, BegininaN.Yu.
2
, VelichkoO.A.
2
1Petrovsky National Research Center of Surgery of the Russian Academy of Medical Sciences, Moscow,
Russia; 2Sechenov First Moscow State Medical University, Moscow, Russia
correspondence to:
Zaitsev A.Yu
e-mail:
rabotaz1@rambler.ru
Abstract:
Anatomic deformations can cause complications during the tracheal intubation in the maxillofacial
surgery and otorhinolaryngology. The article deals with a clinical case of tracheal intubation in a patient with
the anatomic deformations. Successful tracheal intubation was performed in the patient in conditions of
conscious and spontaneous breathing under the local anaesthesia, when a fibreoptic bronchoscopy was not
available. Furthermore the article briefly discusses techniques of the tracheal intubation in conditions of
anatomic deformations of the upper airways and methods of local anaesthesia for the guttur and
hypopharynx.
Key words:
ENT, maxillofacial surgery, difficult tracheal intubation, local anaesthesia for guttur and
hypopharynx, blind tracheal intubation, fibreopticintubation, video-assisted laryngoscopy, retromolar
laryngoscopy, optic techniques of tracheal intubation, local anaesthesia forupper airways, inhibition of upper
airways reflexes
AN-1401-065
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