We bet you haven't seen anything like this before!
We bet you haven't seen anything like this before! Transorbital endotracheal intubation: a nonstandard approach to a difficult airway. ⠀ We present the case report of a 49-year-old gentleman with a history of adenoid cystic carcinoma of the left nare status post bifrontal craniotomy, left lateral rhinotomy and medial maxillectomy, adjuvant radiotherapy, and orbital exenteration for optic neuropathy, complicated by medial wall dehiscence. His course was also complicated by severe radiation trismus, for which he was scheduled to undergo bilateral mandibular coronoidectomies. Given his limited mouth opening, the surgeon requested a nasal endotracheal tube. Because of concerns of traumatizing his nare, we utilized a flexible fiberoptic bronchoscope to perform asleep transorbital intubation. Airway management in patients with severe trismus may require ingenuity.
Source: https://www.instagram.com/p/BgzMyV_lc6x/?utm_source=ig_share_sheet&igshid=1mtgb71ipcrwqThis is just too dope 🙌🙌....plus you guys even have a name for the procedure already 🙌..salute to your team!
Can someone please describe this for someone who hasn’t been to medical school yet? It’s looks so amazing. Is he effectively breathing out of his eye socket?
Patient can't open mouth due to jaw spasms(trismus) anesthesia didn't want a nasal int ubation for fear of damaging nasal passages...with a fibreoptic incubation the endotracheal(breathing) tube could be followed inch by inch....I think this anesthetist is awesome for trying this approach rather than subject the man to a surgical tracheostomy☺😷
