Awake Video Laryngoscope Guided Intubation (VLI) in a Case of Advanced Nasopharyngeal Carcinoma
Mohammad Eid Ali, Ashraf ALakkad, Anas Ghonem Al Hariri
Advances in Research · pp. 46–50 · Published 21 Feb 2023
10.9734/air/2023/v24i2937Abstract
Background: Awake video laryngoscope guided intubation is a reliable approach for securing the airway in patients with predicted or unexpectedly difficult airway conditions. Awake video laryngoscope-guided intubation which was developed in the early 2000s can be applied successfully in a variety of clinical settings with better patient preparation and implementation of the proper approach. Case Presentation: On December 10, 2022, a 62-year-old male with advanced Nasopharyngeal Carcinoma with concomitant comorbidities resulting from earlier chemotherapy and radiotherapy underwent elective surgical tracheostomy. A fiber optic indirect laryngoscopy uncovered a narrow laryngeal inlet. A successful surgical tracheostomy was performed after a successful Awake video laryngoscope guided intubation using the C-Mack with a topical and injectable anesthetic. After awakening from anesthesia, the patient was moved to the ICU for routine observation. The patient recovered quickly and was discharged within a few days. Conclusion: This case describes the successful management of an advanced Nasopharyngeal Carcinoma patient undergoing elective tracheostomy. The patient underwent Awake video laryngoscope guided intubation with the C-Mack, topical and injectable anesthetic, which allowed for a successful surgical tracheostomy despite the concomitant comorbidities from past treatment.
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