From: Gilles Chemtob
M.D.
Sent: Wednesday, February 18, 2004
6:40 PM
Subject:Shikani Optical Stylet
Case Reports
The following are some thoughts on the SOS:
I use it routinely and it works superbly on easy as well as difficult
intubations.
Here are two recent cases that I've had:
(1) I was asked to give anesthesia
to a gentleman who was previously cancelled due to failed intubation.
The Anesthesiologist's attempts included laryngoscopy, different
blades, LMA intubation and flexible-fiberoptic assisted intubation,
all without success. The case was cancelled and rescheduled with
me delivering the anesthesia. I intubated the patient maintaining
spontaneous respirations, mild iv sedation and local anesthetic
topicalization. The patient was easily and successfully intubated
using the SOS on 1st attempt in an awake patient.
(2) I was called out of my case
to go and intubate a patient in another room that was impossible
to intubate by all the above maneuvers over a period of greater
than 45min. I found an obese, short neck female patient. The pt.
was being LMA ventilated with some difficulty secondary due to presumed
airway edema after multiple attempts at airway manipulations i.e.
(45 mins. -worth). After optimizing her oxygenation we removed the
LMA and the patient was intubated by myself using the SOS on first
attempt though with some challenge due to the airway edema and distortion
present at the point.
I have several other war stories using the SOS successfully.
Sincerely Gilles Chemtob M.D.
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