Difficult airway management due to tumoral obstruction on awake patient




Roberto J. Jiménez-Contreras, Servicio de Anestesiología, Centro Médico ABC, Ciudad de México, México
Ricardo Serna-Muñoz, Servicio de Anestesiología, Centro Médico ABC, Ciudad de México, México
Adriana Jiménez-Ramos, Servicio de Anestesiología, Centro Médico ABC, Ciudad de México, México
Elise Bañuelos-Ortiz, Servicio de Anestesiología, Centro Médico ABC, Ciudad de México, México
Ignacio C. Hurtado-Reyes, Servicio de Anestesiología, Centro Médico ABC, Ciudad de México, México


Mandibular tumors are neoplasms that are almost always deforming, which can complicate or make it impossible to access the airway through the mouth. In certain circumstances it is necessary for the patient to continue ventilating spontaneously, in such a way that there is no loss of air permeability. The intubation can be obtained with minimal discomfort for the patient and with less technical difficulty when performed with videolaryngoscope instead of fibrescope. Awake intubation with videolaryngoscope, in patients with difficult airway, is a good technique that should be evaluated in case of not having a fiberscope.



Keywords: Difficult airway management. Awake intubation. Videolaryngoscopy. Fibroscope. Mandibular tumor.