Viderman Dmitriy, Nurpeisov Aisa, Balabayev Omirzhan, Urunbayev Yermek, de Almeida Guilherme, Bilotta Federico
Nazarbayev University School of Medicine (NUSOM), Department of Biomedical Sciences, Astana, Cazaquistão; National Neurosurgery Center, Department of Spinal Neurosurgery, Astana, Cazaquistão.
National Neurosurgery Center, Department of Anesthesiology and Critical Care, Astana, Cazaquistão.
Braz J Anesthesiol. 2020 Sep-Oct;70(5):553-555. doi: 10.1016/j.bjan.2020.08.004. Epub 2020 Sep 11.
Hydatid cyst in the cervical region is an extremely rare condition that can create challenges for anesthesiologists. Timely recognition of difficult airway and preparing the management plan is crucial to avoid life-threatening complications such as hypoxic brain damage. We describe a case of difficult airway management in a patient with massive cervical hydatid cyst. We used a low-dose ketamine-propofol sedation and lidocaine spray for local oropharyngeal anesthesia. Muscular relaxants were not used, and spontaneous breathing was maintained during intubation. Recognition, assessment, and perioperative planning are essential for difficult airway management in patients with cervical hydatid cyst.
颈部包虫囊肿是一种极为罕见的病症，会给麻醉医生带来挑战。及时识别困难气道并制定管理计划对于避免诸如缺氧性脑损伤等危及生命的并发症至关重要。我们描述了一例巨大颈部包虫囊肿患者的困难气道管理病例。我们使用低剂量氯胺酮 - 丙泊酚镇静以及利多卡因喷雾进行口咽局部麻醉。未使用肌肉松弛剂，插管过程中维持自主呼吸。识别、评估和围手术期规划对于颈部包虫囊肿患者的困难气道管理至关重要。
