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Anesthesia Management in an Adult Patient with Sleep-Disordered Breathing and Difficult Intubation: A Case Report
Devika Bhatt1, Ulpesh Shelke1, Varsha Vyas1
1Department of Anesthesiology, Padmashree Dr. D. Y. Patil Hospital, Navi Mumbai, Maharashtra, India.
Anesthesia, Essays and Researches
|January 22, 2019
Summary
Obstructive sleep apnea can complicate airway management. Careful preoperative assessment and planning are crucial for successful endotracheal intubation in patients with sleep-disordered breathing and potential airway difficulties.
Area of Science:
- Anesthesiology
- Otolaryngology
- Sleep Medicine
Background:
- Obstructive sleep apnea (OSA) is linked to various comorbidities and perioperative risks.
- Poor visualization of laryngeal anatomy can lead to failed tracheal intubation, especially in patients with sleep-disordered breathing and adenoid enlargement.
Observation:
- A 52-year-old menopausal female with a history of snoring and nocturnal breathing difficulty was scheduled for tonsillectomy and adenoid resection.
- The patient presented with potential airway challenges due to underlying adenoid enlargement, a common feature in sleep-disordered breathing.
Findings:
- Difficult endotracheal intubation was encountered.
- The case highlights the importance of recognizing potential airway issues in OSA patients.
Implications:
- Thorough preoperative assessment, including a detailed history and specific investigation for OSA, is vital.
- Proactive planning for difficult tracheal intubation can ensure successful airway management in the operating room.
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