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A 46-year-old man with a history of polysubstance abuse, body mass index of 20, and prominent thyroid cartilage is found obtunded. He is intubated and admitted to the ICU. He subsequently regains consciousness, becomes agitated, and violently pulls out his endotracheal tube. He is unable to breathe; attempts to assist him with bag mask ventilation are unsuccessful. Direct laryngoscopy reveals swollen, edematous vocal cords with no glottic opening seen. His oxygen saturation is now 76%. Which of the following methods is most appropriate to re-establish an airway?
A. Establish airway patency by using Rapid Sequence Intubation B. Attempt placement of a supraglottic airway (laryngeal mask airway) and call for immediate surgical backup C. Placement of a nasopharyngeal airway D. Videolaryngoscopy with size 7.5 endotracheal tube
Sagot :
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