Anticipating Difficult Airway-X Ray Soft tissue Neck (A Reliable Guide)

Dr Shrikant PhatakHead of ENT Department

Choithram Hospital & Research Center Indore

Anticipating Difficult Airway-X Ray Soft tissue Neck (A Reliable Guide)

• ENT surgeon & Anesthetists share a common airway

• X-Ray ST neck A-P & Lateral views provides a reliable guideline to anticipate intubation & post extubation difficulties.

Subcutaneous Air Obscuring Landmarks

Surgical emphysema Surgical emphysema

Thyroid Swelling

Shifting Of Airway Patent Airway In spite of Shift

Epiglottic cyst

Epiglottic Mass Obscuring Airway

Mass Aryepiglottic Fold

Stenotic Narrowing

Supraglottic Narrowing Subglottic stenosis

Stenotic Narrowing

Narrow Trachea Narrow Trachea

Supraglottic Mass Obscuring Airway

Supraglottic Mass Obscuring Airway

Retropharyngeal Abscess A-V Malformation

Retropharyngeal Widening Retropharyngeal Widening

Abnormalities of Cervical Spine

Block Vertebra Ankylosing Spondylitis

Discaimer

• The information contained in the presentation is based on the personal experience and cases collected at Choithram Hospital Indore over the last 20 years.

• It is intended for the use of Medical students Anesthesia & ENT post graduates.

• The views expressed are purely on personal opinion. viewers can make their own opinion. For any confusion please contact sole author.

• Everybody is allowed to copy or download the material best suited to him. I am not responsible for any controversies arising out of the presentation.

• For any suggestions or corrections you may please contact phatak_shrikant@yahoo.in

• Thank you