Hydatid cyst in the cervical spinal cord complicated by potentially life-threatening difficult airway: a case report

Abstract Hydatid cyst in the cervical region is an extremely rare condition that can create challenges for anesthesiologists. Timely recognition of difficult airway and preparing the management plan is crucial to avoid life-threatening complications such as hypoxic brain damage. We describe a case of difficult airway management in a patient with massive cervical hydatid cyst. We used a low-dose ketamine-propofol sedation and lidocaine spray for local oropharyngeal anesthesia. Muscular relaxants were not used, and spontaneous breathing was maintained during intubation. Recognition, assessment, and perioperative planning are essential for difficult airway management in patients with cervical hydatid cyst.

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Main Authors: Viderman,Dmitriy, Nurpeisov,Aisa, Balabayev,Omirzhan, Urunbayev,Yermek, de Almeida,Guilherme, Bilotta,Federico
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Anestesiologia 2020
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942020000500553
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spelling oai:scielo:S0034-709420200005005532020-12-16Hydatid cyst in the cervical spinal cord complicated by potentially life-threatening difficult airway: a case reportViderman,DmitriyNurpeisov,AisaBalabayev,OmirzhanUrunbayev,Yermekde Almeida,GuilhermeBilotta,Federico Airway management Intratracheal intubation Airway obstruction Cystic echinococcosis Abstract Hydatid cyst in the cervical region is an extremely rare condition that can create challenges for anesthesiologists. Timely recognition of difficult airway and preparing the management plan is crucial to avoid life-threatening complications such as hypoxic brain damage. We describe a case of difficult airway management in a patient with massive cervical hydatid cyst. We used a low-dose ketamine-propofol sedation and lidocaine spray for local oropharyngeal anesthesia. Muscular relaxants were not used, and spontaneous breathing was maintained during intubation. Recognition, assessment, and perioperative planning are essential for difficult airway management in patients with cervical hydatid cyst.info:eu-repo/semantics/openAccessSociedade Brasileira de AnestesiologiaRevista Brasileira de Anestesiologia v.70 n.5 20202020-10-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942020000500553en10.1016/j.bjane.2020.09.003
institution SCIELO
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country Brasil
countrycode BR
component Revista
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databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Viderman,Dmitriy
Nurpeisov,Aisa
Balabayev,Omirzhan
Urunbayev,Yermek
de Almeida,Guilherme
Bilotta,Federico
spellingShingle Viderman,Dmitriy
Nurpeisov,Aisa
Balabayev,Omirzhan
Urunbayev,Yermek
de Almeida,Guilherme
Bilotta,Federico
Hydatid cyst in the cervical spinal cord complicated by potentially life-threatening difficult airway: a case report
author_facet Viderman,Dmitriy
Nurpeisov,Aisa
Balabayev,Omirzhan
Urunbayev,Yermek
de Almeida,Guilherme
Bilotta,Federico
author_sort Viderman,Dmitriy
title Hydatid cyst in the cervical spinal cord complicated by potentially life-threatening difficult airway: a case report
title_short Hydatid cyst in the cervical spinal cord complicated by potentially life-threatening difficult airway: a case report
title_full Hydatid cyst in the cervical spinal cord complicated by potentially life-threatening difficult airway: a case report
title_fullStr Hydatid cyst in the cervical spinal cord complicated by potentially life-threatening difficult airway: a case report
title_full_unstemmed Hydatid cyst in the cervical spinal cord complicated by potentially life-threatening difficult airway: a case report
title_sort hydatid cyst in the cervical spinal cord complicated by potentially life-threatening difficult airway: a case report
description Abstract Hydatid cyst in the cervical region is an extremely rare condition that can create challenges for anesthesiologists. Timely recognition of difficult airway and preparing the management plan is crucial to avoid life-threatening complications such as hypoxic brain damage. We describe a case of difficult airway management in a patient with massive cervical hydatid cyst. We used a low-dose ketamine-propofol sedation and lidocaine spray for local oropharyngeal anesthesia. Muscular relaxants were not used, and spontaneous breathing was maintained during intubation. Recognition, assessment, and perioperative planning are essential for difficult airway management in patients with cervical hydatid cyst.
publisher Sociedade Brasileira de Anestesiologia
publishDate 2020
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942020000500553
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