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Open Access Research in Anatomy

Difficult Airway for Intubation by Bronchoscopy : Importance of the Functional Anatomy of the Upper Airway

  • Pablo Rubinstein-Agunin*

    Pulmonology Department, Hospital Universitario General de Cataluña, Spain

    *Corresponding author: Pablo Rubinstein-Agunin, MD, PhD, Pulmonology Department, Hospital Universitario General de Cataluña, Pere i Pons, 1, CP 08195, Barcelona, Spain

Submission: January 19, 2018; Published: April 06, 2018

DOI: 10.31031/OARA.2018.01.000523

Volume1 Issue5
April 2018


The difficult airway is a major cause of morbidity and mortality. Its identification allows developing strategies to ensure that a patient who requires it is intubated and ventilated. Intubation with bronchoscope is one of the techniques of choice, and is performed with the patient without muscle relaxation, in spontaneous ventilation [1]. Functional anatomy of the upper airway may differ when the patient is relaxed or spontaneously ventilated [2]. We present the case of a 58-year-old male patient, smoker of 60 pack-years, snorer, hypertensive and overweight, who underwent a bronchoscopy for hemoptysis, in spontaneous ventilation, and under deep sedation with propofol (Video 1 & 2).

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