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Updated: Jun 17, 2026

The Rigid Tube as an Alternative in Controlling the Problematic Airway
Published on: June 6, 2020
A difficult airway in a patient with nephrogenic sclerosing fibrosis
Richard S Gist1, David W Miller, Ty Warren
1Department of Anesthesiology, Section of Critical Care Medicine, Naval Medical Center Portsmouth, Portsmouth, Virginia 23708, USA. richard.gist@med.navy.mi
Abstract:
Nephrogenic sclerosing fibrosis (dermopathy) is a relatively rare complication of long-term renal dialysis. The syndrome includes marked thickening of the skin and diffuse fibrosis of fascia, muscle, heart, and lungs, leading to contractures of the joints and limbs and cardiopulmonary compromise. We present the case of a 29-year-old woman who required emergent intubation because of respiratory compromise, and who had had normal airway examinations and intubations before the onset of nephrogenic sclerosing fibrosis symptoms.
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