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Updated: Dec 7, 2025

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
[Hydatid cyst in the cervical spinal cord complicated by potentially life-threatening difficult airway: a case
Dmitriy Viderman1, Aisa Nurpeisov2, Omirzhan Balabayev2
1Nazarbayev University School of Medicine (NUSOM), Department of Biomedical Sciences, Astana, Cazaquistão; National Neurosurgery Center, Department of Spinal Neurosurgery, Astana, Cazaquistão.
Abstract:
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.
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