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CASE REPORT
Year : 2018  |  Volume : 12  |  Issue : 4  |  Page : 967-969

Anesthesia management in an adult patient with sleep-disordered breathing and difficult intubation: A case report


Department of Anesthesiology, Padmashree Dr. D. Y. Patil Hospital, Navi Mumbai, Maharashtra, India

Correspondence Address:
Dr. Devika Bhatt
Department of Anesthesiology, Padmashree Dr. D. Y. Patil Hospital, 2nd Floor, Sector-5, Nerul, Navi Mumbai - 400 706, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aer.AER_171_18

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Obstructive sleep apnea may be associated with numerous comorbidities and perioperative complications. Poor laryngeal anatomy visualization can be a cause of failed tracheal intubation after multiple attempts in patients with sleep-disordered breathing due to the underlying adenoid enlargement. We present a case of difficult endotracheal intubation in a 52-year-old menopausal female patient posted for tonsillectomy with adenoid resection with a history of snoring and difficulty in breathing while asleep. A thorough preoperative assessment focusing on history and investigating obstructive sleep apnea, and preparing and planning for difficult tracheal intubation in such patients can lead to successful endotracheal intubation inside the operation theater.


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