A Persistant ‘Can't Intubate, Can't Oxygenate’ Crisis despite Rocuronium Reversal with Sugammadex

A ‘can't intubate, can't oxygenate’ airway crisis is a rare event which most anaesthetists will never experience during their career 1,2 . This report highlights the outcome of time-critical decisions in a potential airway catastrophe. Rocuronium was used as an alternative muscle relaxant...

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Vydáno v:Anaesthesia and intensive care Ročník 40; číslo 2; s. 344 - 346
Hlavní autoři: Kyle, B. C., Gaylard, D., Riley, R. H.
Médium: Journal Article
Jazyk:angličtina
Vydáno: Edgecliff Anaesthesia Society of Anaesthetists 01.03.2012
Sage Publications Ltd. (UK)
Sage Publications Ltd
Témata:
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Case studies
Drug therapy
Health aspects
Medical sciences
Respiratory tract diseases
Rocuronium bromide
Australia
United Kingdom
laryngeal vallecular cyst
respiratory obstruction
Cyst
Anesthesia
rocuronium
Benign neoplasm
Sugammadex
Obstruction
Crisis
ISSN:0310-057X, 1448-0271
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Shrnutí:A ‘can't intubate, can't oxygenate’ airway crisis is a rare event which most anaesthetists will never experience during their career 1,2 . This report highlights the outcome of time-critical decisions in a potential airway catastrophe. Rocuronium was used as an alternative muscle relaxant for rapid sequence induction. The use of sugammadex in ‘can't intubate, can't oxygenate’ crises is discussed and highlights how, despite adequate reversal of neuromuscular blockade, the ‘can't intubate, can't oxygenate’ situation failed to resolve. An asymptomatic vallecular cyst was the causal factor in this scenario. Anaesthetic issues surrounding this pathology are discussed.
Bibliografie:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-General Information-1
ObjectType-Feature-3
ObjectType-Case Study-5
content type line 14
ObjectType-Report-4
ISSN:0310-057X
1448-0271
DOI:10.1177/0310057X1204000220