Quiste Valecular Asintomático: Relato de Caso
TLDR
A paciente del sexo masculino, de 56 anos, llegó para una reseccion de glioblastoma intracraneal multiforme.Abstract:
Resumen Un paciente del sexo masculino, de 56 anos, llego para una reseccion de glioblastoma intracraneal multiforme. Posteriormente a la rutina de monitorizacion, el paciente fue pre-oxigenado. La anestesia y la paralisis se indujeron con propofol (200 mg), fentanilo (50 μg) y vecuronio (9 mg). La laringoscopia directa con lamina 3 Macintosh arrojo un quiste pedunculado de 2x2 cm que surgia al lado derecho de la valecula e impedia la intubacion endotraqueal. Mientras el paciente permanecia anestesiado, consultamos rapidamente un otorrinolaringologo y el quiste fue aspirado por una jeringa con una aguja calibre 22G bajo laringoscopia directa. Aspiramos 10 cc de liquido. La intubacion traqueal se hizo enseguida sin intercurrencias con una sonda de 9,0 y un alambre en espiral y con balon. Una opcion para la intubacion con fibra optica puede ser la aspiracion cuidadosa del quiste para facilitar la intubacion.read more
Citations
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Uso del videolaringoscopio King Vision® en una vía aérea difícil no esperada por un quiste vallecular gigante en un adulto, a propósito de un caso
TL;DR: A case of difficult endotracheal intubation and the treatment of an adult patient with an asymptomatic, giant vallecular cyst that was discovered during rapid-sequence induction of general anesthesia in urgent surgery is described.
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