- Version
- Download 63324
- File Size 0.00 KB
- File Count 1
- Create Date July 30, 2025
- Last Updated July 30, 2025
Anesthetic Management of a Difficult Airway in a Patient with Renal Osteodystrophy and Secondary Hyperparathyroidism: A Case Report
Zou Qian1*
1Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
Corresponding Author: Zou Qian
Address: Department of Anaesthesiology, West China Hospital, Sichuan University, 37 Guo Xue St, Chengdu, Sichuan 610041, China.
Received date: 13 July 2025; Accepted date: 23 July 2025; Published date: 31 July 2025
Citation: Qian Z. Anesthetic Management of a Difficult Airway in a Patient with Renal Osteodystrophy and Secondary Hyperparathyroidism: A Case Report. Asp Biomed Clin Case Rep. 2025 Jul 31;8(2):180-83.
Copyright © 2025 Qian Z. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.
Keywords: Chronic Kidney Disease, CKD, Renal Osteodystrophy, Hyperphosphatemia, Difficult Airway, Awake Tracheal Intubation, Endotracheal Intubation
Abstract
Renal osteodystrophy (ROD) is a systemic bone metabolic disease caused by renal dysfunction and is a significant complication in patients with late-stage chronic kidney disease (CKD) or those undergoing hemodialysis. Patients with chronic kidney disease undergo long-term dialysis, which can lead to secondary hyperparathyroidism, hypocalcemia, hyperphosphatemia, and aluminium toxicity. This case presents a middle-aged woman who underwent long-term dialysis for uremia and developed hyperparathyroidism. She was scheduled to undergo parathyroidectomy under general anesthesia. During the pre-anesthesia assessment, deformities were found in the patient's maxillofacial region. It was suspected that there would be difficulty with face mask ventilation and tracheal intubation. In this case, fibreoptic bronchoscopy-guided endotracheal intubation was successfully performed under mild sedation. An individualized anesthesia plan was developed, and successful airway management was achieved. Ultimately, the patient's surgery went smoothly, with the tracheal tube being safely removed afterwards.