METHODS: A 48-year-old male presented to the otolaryngology department with a foreign body sensation in the throat.
METHODS: A large epiglottic cyst was diagnosed.
METHODS: The patient was planned to undergo epiglottis cystectomy under general anesthesia. After induction of anesthesia, the cyst severely covered the glottis and made endotracheal intubation difficult. The anesthesiologist rapidly adjusted the position of the laryngeal lens; thus, the endotracheal intubation was successful under the visual laryngoscope.
RESULTS: The endotracheal intubation was successful under the visual laryngoscope and the operation went well.
CONCLUSIONS: Patients with epiglottic cysts are more likely to have difficult airways after induction of anesthesia. Anesthesiologists should take preoperative airway assessment seriously, efficiently handle difficult airway and intubation failure, and make quick and correct choices to ensure patient safety.
方法:一名48岁男性出现在耳鼻喉科,喉咙有异物感。
方法:诊断为大型会厌囊肿。
方法:患者计划在全身麻醉下进行会厌膀胱切除术。麻醉诱导后,囊肿严重覆盖声门,气管插管困难。麻醉师迅速调整了喉镜的位置;因此,可视喉镜下气管插管成功。
结果:可视喉镜下气管插管成功,手术顺利。
结论:会厌囊肿患者在麻醉诱导后更有可能出现困难的气道。麻醉医师应重视术前气道评估,有效处理困难的气道和插管失败,并做出快速和正确的选择,以确保患者的安全。