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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
ANAESTHESIA MANAGEMENT OF EXCISION OF LARGE VALLECULAR (EPIGLOTTIS) CYST
Author
Sandhya Gujar*, Sucheta Meshram, Tejas Bhandari, Kruti Mehata
Email
drsandhyagujar@gmail.com
keyword
Airway Surgery, Epiglottic cyst, Fibreoptic Intubation
Abstract
Young 37 yr old male patient came for excision of large epiglottis cyst at vallecular area immediately above base of epiglottis. ASA grade I patient with no positive history in past was posted for excision of cyst under G.A. IDL was done, maintaining protocol of difficult intubation, it was decided to do awake FIBREOPTIC INTUBATION with nasal armored tube. After through preparation for fibreoptic intubation like 4 % xylocaine viscous gargles, otrivin nasal drops and intratracheal injection of 2% xylocaine 6.5 no armored tube was passed nasally. Patient was induced with inj.profofol and maintained on inj atracurium with IPPV and O2: N2O and Sevoflurane .as surgery was proceeded with complete excision of cyst base of epiglottis was getting thinned out hence patient was monitored meticulously for any untoward events such as fire hazards of airway after excision of cyst pt. was reversed and it was decided to keep pt on t’piece with 4 liter of oxygen in postop. Period for 24 hrs .to increase tolerance of tube and decrease symph .response pt. sedated within buprenorphine 90 μg IV 12 hrly. Pt was very much comfortable, conscious and oriented in immediate postop period.
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