RT Book, Section
A1 Morris, Ian R.
A2 Hung, Orlando R.
A2 Murphy, Michael F.
SR Print(0)
ID 1146615377
T1 Preparation for Awake Intubation
T2 Hung's Difficult and Failed Airway Management, 3e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781259640544
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1146615377
RD 2023/06/01
AB Case:  A  60-year-old  female  with  carcinoma  of  the  colon  is  scheduled  for  laparoscopic  colon  resection.  She  has  hypertension,  obstructive  sleep  apnea  (OSA),  and  is  morbidly  obese  with  a  body  mass  index  (BMI)  of  41  kg·m−2.  She  provides  a  history  of  difficult  airway  management  at  another  institution  10  years  previously  at  cholecystectomy.  Records  are  not  available.  Examination  of  her  airway  reveals  mouth  opening  of  3  cm  (approximately  2  fingerbreadths),  full  dentition  with  prominent  upper  incisors,  and  a  receding  mandible.  Mandibular  mobility  is  poor  and  she  is  unable  to  bite  her  upper  lip  with  her  lower  incisors.  Her  neck  is  short  and  has  a  circumference  of  44  cm.  Her  cricothyroid  membrane  (CTM)  is  difficult  to  identify.  Her  neck  extension  is  unremarkable  and  she  has  a  Mallampati  score  of  IV.