Manage this TikTok airway

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caligas

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gotta be AFOI no? Be nice to see a CT or something, or old records

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There was a case like this in the NEJM a few years ago. Maybe not quite this jacked up, but close. They cannulated for ECMO first, and then did a topicalized FOBI, IIRC.
 
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Agree, would want CT to better delineate anatomy, but patient has a patent airway that they use daily and nightly, presumably uneventfully. It’s not like it’s an expanding hematoma or angioedema. Pending CT, likely AFOI.

I am significantly more worried about how this patient gets safely positioned for anything done in supine. I’m guessing they only sleep in prone and lateral.
 
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Agree, would want CT to better delineate anatomy, but patient has a patent airway that they use daily and nightly, presumably uneventfully. It’s not like it’s an expanding hematoma or angioedema. Pending CT, likely AFOI.

I am significantly more worried about how this patient gets safely positioned for anything done in supine. I’m guessing they only sleep in prone and lateral.
I was thinking the same thing. How are we positioning him for his ex-lap?
 
I was thinking the same thing. How are we positioning him for his ex-lap?


Maybe elevate the body on pads or bolsters and proneview or other prone face pad of choice. But it would have to be turned 180 deg.
 
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