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Updated: Oct 12, 2025

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
Published on: January 17, 2011
Challenging Airway Management in Patients With Zenker's Diverticulum
Christiano Dos Santos E Santos1, Cristiane Araujo Tuma Santos2, Lakshmi N Kurnutala3
1Anesthesiology, University of Mississippi Medical Center, Jackson, USA.
Abstract:
The acquired hypopharyngeal diverticulum (Zenker's) is characterized by a posterior wall outpouching of the pharyngeal mucosa and submucosa through the vulnerable points of the pharyngoesophageal junction. We describe the case of a 67-year-old male who was recently diagnosed with Zenker's diverticulum and had complaints of dysphagia and halitosis. An endoscopic treatment (diverticulotomy) was performed without difficulties. The anesthetic management included rapid sequence induction, avoiding succinylcholine, and intraoperative infusion of dexmedetomidine. The neuromuscular blockade was reversed using sugammadex, decreasing the risk of failed extubation and possible airway re-intervention. The patient was discharged home the following day without complications.
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