Difficult Airway Management: Tricks of the Trade
A 77 yo woman with PMH of inflammatory polyarthritis, severe epiglottitis, dysphagia, and dystonia presented with worsening stridor. She had bilateral vocal cord motion impairment and stenosis requiring a tracheostomy. Direct laryngoscopy revealed grade 3 view with unsuccessful passage of the endotracheal tube. Glidescope was attempted next, and the patient’s cords were deemed too anterior to pass the tube. A proline suture was looped through the murphy eye of the endotracheal tube, pulling the tip of the tube anterior, with successful intubation. This case explores the different options to manage the difficult airway.
Zhang J, Haddad M, Soto RG. Difficult airway management: tricks of the trade. Presented at: American Society of Anesthesiologists Annual Meeting; 2023 Oct 16; San Francisco, CA.