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Background and Aims Difficult airway intubation can be challenging for anesthesiologists, because of the unexpected situation. Using the ultrasonography can help mitigate any issues that may arise.
Methods A 57 year-old-woman was admitted to A&E, with stridor and dyspnea. A diagnosis of bilateral vocal cord paralysis was made, requiring an emergency tracheostomy. In the operating room, we assessed the upper airway using the ultrasound, which confirmed the vocal cord paralysis. The patient was prepared for an awake intubation. Nebulization with 5ml of
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