Document Type : Case reports

Authors

• Ali Abbasijahromi ¹
• Mohammad Sadegh Sanie Jahromi ²
• Mehran Farzaneh ³
• Shohreh Javadpour ⁴
• Mohammad Ali Montaseri ⁵
• Navid Kalani ³

¹ MSc in Critical Care Nursing, Anesthesiology and Intensive Care Department, School of Nursing and Paramedical Sciences, Jahrom University of Medical Sciences, Jahrom, Iran

² Assistant Professor of Anesthesiology, Anesthesiology and Intensive Care Department, Jahrom University of Medical Sciences, Jahrom, Iran

³ Research Committee Student, Jahrom University of Medical Sciences, Jahrom, Iran

⁴ MSc in Critical Care Nursing, Intensive Care Department, School of Nursing and Paramedical Sciences, Jahrom University of Medical Sciences, Jahrom, Iran

⁵ MSc in Medical Surgical Nursing, Department of Medical- Surgical Nursing, School of Nursing and Paramedical Sciences, Jahrom University of Medical Sciences, Jahrom, Iran

Abstract

Introduction: Currently, creating a secure airway for general anesthesia is an integral part of the process of anesthesia. The difficulty of this process effects morbidity and mortality rates. In order to achieve further success in these patients, it is advised to use video laryngoscope.
Case Presentation: The patient was a 45-year-old female, who was a candidate for cholecystectomy along with laparoscopic surgery, and had referred to Peimaniyeh hospital of Jahrom, Iran, during September 2016. In the initial assessment, the patient seemed to be in a difficult airway class, while in her surgery documents from 5 and 10 years ago and in her previous records no history of this problem was mentioned. After the administration of drugs before surgery and anesthesia induction, tracheal intubation had failed by use of routine laryngoscope and McCoy laryngoscope in two stages. Finally, the use of video laryngoscope for tracheal intubation was successful. During the intubation attempts, the patient was ventilated with 100% oxygen mask and her arterial blood oxygen saturation had not decreased.
Conclusions: Therefore, it is recommended for the patient to be investigated carefully in terms of airway management. In addition, in case of difficult intubation, selecting video laryngoscope to facilitate intubation may be appropriate. The mere absence of a difficult airway management is not a reason that the problem will not occur in the future.

Keywords

• General Anesthesia
• Airway Management
• Intubation
• Video Laryngoscope
• Macintosh
• McCoy Laryngoscope