Title

A Case of Cannot Intubate, Cannot Ventilate

Division

North Florida

Hospital

North Florida

Document Type

Poster

Publication Date

10-21-2019

Keywords

anesthesiology, medical complications, ventilation, cricothyroidotomy

Disciplines

Anesthesia and Analgesia | Anesthesiology | Medicine and Health Sciences

Abstract

69M with a PMH of parotid gland carcinoma status post resection and radiation therapy with extensive reconstruction, G-tube placement, COPD, multiple tracheostomies with takedowns (with refusal permanent tracheostomy over objections of family members) presented for CTR and ulnar tunnel exploration. With plans of MAC, an axillary block was placed and maintained on minimal propofol infusion. After administration of 50 mcg fentanyl due to pain, he was noted to be apnic. Ventilation via mask and #3 LMA failed, as well as placement of an 6 mm ET tube. Eventually, patient was ventilated via emergency surgical cricothyroidotomy. He was discharged on POD4.

Publisher or Conference

Anesthesiology 2019

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