RT Book, Section
A1 Morris, Ian R.
A2 Hung, Orlando R.
A2 Murphy, Michael F.
SR Print(0)
ID 1146616306
T1 Flexible Bronchoscopic 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=1146616306
RD 2024/04/25
AB A  65-year-old  male  with  carcinoma  of  the  colon  presents  for  colon  resection.  He  weighs  120  kg  and  is  157  cm  tall  (BMI  48  kg·m−2).  He  has  a  history  of  hypertension  and  obstructive  sleep  apnea.  On  airway  examination,  he  has  a  Mallampati  IV  score;  3-cm  mouth  opening,  a  large  tongue,  full  dentition,  about  0.5  cm  of  mandibular  protrusion,  a  receding  mandible,  decreased  cervical  spine  extension,  and  has  a  short  thick  neck.  His  cricothyroid  membrane  is  difficult  to  palpate.  He  has  predictors  of  difficult  direct  laryngoscopy,  difficult  video-laryngoscopy,  difficult  bag-mask-ventilation,  difficult  extraglottic  device  (EGD)  use,  and  a  difficult  surgical  airway.  He  is  likely  to  be  intolerant  of  apnea.  An  awake  bronchoscopic  intubation  was  performed  which  was  uneventful  as  was  his  subsequent  surgery.