Acromegaly And The Airway Flashcards Preview

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Flashcards in Acromegaly And The Airway Deck (9)
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0
Q

What other pathologies might you see with acromegaly

A

visceromegaly (Organs enlarged)

osteoarthritis

Skeletal muscle weakness

glucose intolerance

Peripheral neuropathy

1
Q

What is acromegaly

A

Gigantism

the excess secretion of growth hormone producing a general increase in size of the skeleton, soft tissues, and connective tissues.

2
Q

What structures are affected by acromegaly in regards to the airway

A

Nose, nasal passages

maxilla, mandible

mouth, tongue

pharynx

larynx: epiglottis, glottis, vocal cords, cricoarytenoid joint

trachea

3
Q

What are some airway signs and symptoms associated with acromegaly

A

Hoarseness
stridor
abnormal speech

all due to laryngeal changes

4
Q

True or false. The patient with acromegaly has extra-large nasal passages

A

False.

Nasal passages are smaller than normal due due to turbinate overgrowth. Limit nasal Instrumentatio.

5
Q

In regards to extubation what might you want to consider for these patients

A

They should be awake and alert for extubation given the fact that they are not good candidates for nasal airways

6
Q

Macroglossia is often seen with acromegaly, what problems might This present?

A

Upper airway obstruction

increased difficulty with DL

7
Q

True or false. You should upsize your ETT when planning to intubate the patient with acromegaly.

A

False.

The trachea is normal size you should NOT upsize your ETT

8
Q

What are some considerations when performing a transphenoidal hypophysectomy on a patient with Acromegaly

A

Careful airway management

anode orotracheal tube

secure OETT

fixed head frame - use NMB

moving page of the spinal drain placement