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[Difficult tracheal intubation in a patient suspected of malignant hyperthermia]

[Difficult tracheal intubation in a patient suspected of malignant hyperthermia]

Authors :
Yuki, Nikaido
Kohei, Murao
Sakahiro, Ikeda
Sachiyo, Sakamoto
Yuka, Uchiyama
Koh, Shingu
Source :
Masui. The Japanese journal of anesthesiology. 52(2)
Publication Year :
2003

Abstract

We report anesthetic management of a patient suspected of malignant hyperthermia with difficult tracheal intubation. A 64-year-old man was scheduled for a fixation of humerus bone fractures in prone position. He had a history of difficult tracheal intubation due to masseter spasm, and his niece was suspected to be malignant hyperthermia. Anesthesia was induced with propofol using a target controlled infusion. No muscle relaxant was given and spontaneous breathing was maintained. Trials for tracheal intubation failed whenever using a standard laryngoscope, a bronchofiberscope, a laryngeal mask airway or an intubating laryngeal mask airway. Resecting the epiglottic elevating bar of an intubating laryngeal mask airway enabled fiberoptic tracheal intubation. No symptom suggesting malignant hyperthermia developed.

Details

ISSN :
00214892
Volume :
52
Issue :
2
Database :
OpenAIRE
Journal :
Masui. The Japanese journal of anesthesiology
Accession number :
edsair.pmid..........75cce1370cda689eb7d373fe6fcc531d