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Oxygen insufflation via working channel in a fiberscope is a useful method: A case report and review of literature

World Journal of Clinical Cases 2018年第16期6卷 1194-1198页

作者： Dowon Lee jiseok baik Giyoung Yun Eunsoo Kim Department of Anesthesia and Pain Medicine School of Medicine Pusan National University Biomedical Research Institute Pusan National University Hospital

BACKGROUND Fiberoptic bronchoscopic intubation is the gold standard for endotracheal intubation in difficult or compromised airway situations. However, oxygen insufflation through the working channel of a fiberscope is a controversial method because of the possibility of gastric distention and rupture during an awake fiberoptic bronchoscopic intubation, despite the advantages of preventing fogging of the fiberoptic bronchoscopic lens, blowing oral secretions away, and oxygenation of patients.CASE SUMMARY Here, we describe a case of cervical instability where we rapidly performed fiberoptic bronchoscopic intubation using oxygen insufflation through working channel of the broncoscopy to administer general anesthesia after two previous failures due to low visibility. A 50-year-old man with a non-specific medical history underwent emergency cervical spine surgery for posterior fusion of the C2 and C3 vertebrae. After two unsuccessful attempts at intubation using the fiberoptic broncoscopy, we performed it successfully using the oxygen insufflation via the working channel, instead of using suction to remove the secretion from the lens.CONCLUSION Oxygen insufflation via the working channel of thebroncoscopy is a useful method for assisting with difficult intubation cases.

关键词： Fiberscope Fiberoptic intubation Oxygen insufflation Difficulty airway Cervical instability Case report

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Diagnosis and management of ophthalmic zoster sine herpete accompanied by cervical spine disc protrusion:A case report

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World Journal of Clinical Cases 2021年第25期9卷 7588-7592页

作者： Giyoung Yun Eunsoo Kim jiseok baik Wangseok Do Young-Hoon Jung Chang-Min You Department of Anesthesia and Pain Medicine Biomedical Research InstitutePusan National University HospitalBusan 49241South Korea Department of Anesthesia and Pain Medicine Pusan National UniversitySchool of MedicineYangsan 50612South Korea

BACKGROUND Zoster sine herpete(ZSH)can be misdiagnosed because there are no typical vesicular eruptions characterized by a dermatomal distribution.However,incorrect treatment due to a misdiagnosis can lead to severe pain and fatal complications.CASE SUMMARY A 75-year-old woman complained of sudden onset right shoulder pain and atypical headache.After 18 d,sudden hearing loss occurred in the left ear.In serology tests conducted after the onset of hearing loss,varicella-zoster virus IgM was positive.She had no history of a rash or trauma.Under the suspicion of ZSH,antiviral treatment and stellate ganglion block were administered four times,and the pain was effectively controlled.CONCLUSION Early diagnosis and treatment of ZSH can help not only by reducing pain but also by preventing fatal complications.

关键词： Zoster sine herpete Ophthalmic pain Burning pain Ultrasound-guided stellate ganglion block Case report

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