GlideScope-assisted fiberoptic bronchoscope intubation in a patient with severe rheumatoid arthritis

Abstract

Here, we report that, under the assistance of both the GlideScope and a fiberoptic bronchoscope, tracheal intubation was accomplished successfully in a 50-year-old woman with severe rheumatoid arthritis who underwent tongue lump resection under general anesthesia. Either the GlideScope or the fiberoptic bronchoscope alone failed to secure the airway; the use of both in combination facilitated airway intubation. This case report indicate that, even with careful preoperative assessment, patients who suffer from rheumatoid arthritis may have severe airway difficulty with intubation, and the combined use of the GlideScope and a fiberoptic bronchoscope can be a novel alternative for tracheal intubation in patients with severe airway difficulty.

Keywords: airway management: difficult; arthritis, rheumatoid; bronchoscopes; fiber Optic Technology; intubation, intratracheal; laryngoscopes: GlideScope.