Liu Tieshuai, Zhang Ziming, Zheng Du, Qiao Qing
Department of Anesthesiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, China.
Neonatal Intensive Care Unit, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, China.
J Int Med Res. 2025 Jun;53(6):3000605251345971. doi: 10.1177/03000605251345971. Epub 2025 Jun 6.
Giant vocal cord polyps pose challenges in airway management, particularly in patients with severe obstructive sleep apnea-hypopnea syndrome. We present the case of a morbidly obese man in his 20s (body mass index: 50.8 kg/m) with severe obstructive sleep apnea-hypopnea syndrome and a giant vocal cord polyp. He successfully underwent awake tracheal intubation using video laryngoscopy and high-flow nasal oxygen, which was administered at 30 L/min. Airway anesthesia was achieved with lidocaine, including bilateral superior laryngeal nerve blocks. A 6.5-mm endotracheal tube was placed within 30 s, maintaining the peripheral capillary oxygen saturation level at 100%. The patient remained cooperative and spontaneously breathing throughout the procedure. No complications were observed postoperatively, and the patient was discharged the following day. This case illustrates the effectiveness of awake tracheal intubation and provides valuable insights into managing complex airway cases.
巨大声带息肉给气道管理带来挑战，尤其是在患有严重阻塞性睡眠呼吸暂停低通气综合征的患者中。我们报告了一例20多岁的病态肥胖男性（体重指数：50.8kg/m²），患有严重阻塞性睡眠呼吸暂停低通气综合征和巨大声带息肉。他成功地通过视频喉镜和以30L/min的流速给予的高流量鼻氧进行了清醒气管插管。使用利多卡因实现气道麻醉，包括双侧喉上神经阻滞。在30秒内插入了一根6.5毫米的气管导管，外周毛细血管血氧饱和度维持在100%。患者在整个过程中保持合作并自主呼吸。术后未观察到并发症，患者于次日出院。该病例说明了清醒气管插管的有效性，并为处理复杂气道病例提供了有价值的见解。
