
Sam Ghali, M.D.
@em_resus
ER Doctor | Resuscitation | Airway | Cardiovascular Emergencies | ECGs | Emergency Radiology | Trauma | Critical Care | #FOAMed | Patient Advocate
ID: 2741335327
18-08-2014 04:42:40
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Sam Ghali, M.D. I’m glad we are speaking the same language here describing this clinical case—EM & Anesthesia that is. Brilliant. In the opening chapter of Ovassapian’s text on fiberoptic intubation, he shows the post-mortem photos of a patient with that exact same airway tumor. Cannot face

Very interesting scenario. Thanks for sharing Sam Ghali, M.D.

NICE Sam Ghali, M.D.. Similar situation we did awake technique with ketamine, Roc inserted in IV port but not pushed. Prepped the neck for FONA, 2 intubators 1 used glidescope 2nd nasal bronch. VL pulled mass anterior, glottis visible. Roc pushed bronch into trachea ETT over bronch.



Sam Ghali, M.D. Good case Vallecular cysts, masses & lingual tonsils are very challenging. Overall I agree that an awake FONA is likely to be the best option here. A few comments 1 ‘clinical correlation required’. The history is all. Chronicity, recency & extent of stridor, & best breathing






