Abstract
Background
Most airway management is done in the supine position, but some situations may require
airway management in the lateral position. Most emergency physicians and anesthesiologists
are not comfortable with intubation in the lateral position.
Case Report
We present a patient with giant presacral neurofibroma and the use of video laryngoscope
for airway management in the lateral position. To the best of our knowledge, we are
the first to utilize a video laryngoscope for lateral intubation.
Why Should an Emergency Physician Be Aware of This?
An emergency physician is the first contact for many patients when immediate airway
management is mandatory. Lateral position for airway management is not popular among
anesthesiologists and emergency physicians, but the patient's condition and pathology
may demand this approach. Airway management in the lateral position can be considered
part of airway management training.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Emergency MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Palliative general surgical procedures.Surg Oncol Clin N Am. 2001; 10: 161-184
- Approaching Death—Improving Care at the End of Life.National Academy Press, Washington, DC1997
- Airway scope for tracheal intubation in the lateral position.Anesth Analg. 2011; 112: 868-874
- Airway management in the lateral position: a randomized controlled trial.Anesth Analg. 2005; 101: 1221-1225
- Decrease in functional residual capacity and ventilation homogeneity after neuromuscular blockade in anaesthetized pre-school children in lateral position.Paediatr Anaesth. 2007; 17: 841-845
- Recent developments in airway management of the paediatric patient.Curr Opin Anaesthesiol. 2006; 19: 278-284
- Effect of lateral positioning on upper airway size and morphology in sedated children.Anaesthesiology. 2005; 103: 484-488
- Anaesthetic management of a giant encephalocele—size does matter.Pediatr Neurosurg. 2012; 48: 249-252
- Fiberoptic orotracheal intubation in the left semi lateral position.Anesth Analg. 2002; 94: 477-478
- Videolaryngoscopy versus direct laryngoscopy for emergency orotracheal intubation outside the operating room: a systematic review and meta-analysis.Br J Anaesth. 2018; 120: 712-724
Article info
Publication history
Published online: August 01, 2019
Accepted:
May 6,
2019
Received in revised form:
April 27,
2019
Received:
January 28,
2019
Identification
Copyright
© 2019 Published by Elsevier Inc.
