TITLE

Orotracheal intubation with an AirWay Scope in a patient with Treacher Collins syndrome

AUTHOR(S)
Iguchi, Hironobu; Sasano, Nobuko; So, Minhye; Hirate, Hiroyuki; Sasano, Hiroshi; Katsuya, Hirotada
PUB. DATE
May 2008
SOURCE
Journal of Anesthesia;2008, Vol. 22 Issue 2, p186
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Treacher Collins syndrome (TCS) is a congenital malformation of craniofacial development; in these patients conventional direct laryngoscopy is very difficult and often unsuccessful because of the upper airway malformation. A 20-year-old man with TCS was scheduled for elective tympanoplasty. The patient showed the characteristic facial appearance of TCS, and a difficult airway was anticipated. After careful anesthesia induction, direct laryngoscopy with Macintosh blade no. 4 of a direct laryngoscope failed to visualize the epiglottis, even with cricoid pressure, resulting in a grade 4 Cormack and Lehane view. Next, the AirWay Scope was easily inserted, and his glottic opening was clearly visualized. An 8.0-mm-internal-diameter tracheal tube was then advanced into the trachea without any difficulty. The AirWay Scope is a very useful airway device for orotracheal intubation; it provides an excellent view of the glottis without requiring alignment of the oral, pharyngeal, and laryngeal axes, and appears to be promising for use in patients with a difficult airway.
ACCESSION #
32154831

 

Related Articles

  • Management of the difficult airway in children. Walker, Robert W. M. // Journal of the Royal Society of Medicine (Supplement);Jul2001, Vol. 94 Issue 40, p341 

    The article presents a guide to the anesthetic management of children with congenital conditions. The anatomical variations between infants, children and adults in airway management and endotracheal intubation are discussed. It offers information on the common craniofacial abnormalities that...

  • Prehospital advanced airway management for trauma in the United Kingdom: how, when and by whom? Hickman, J. // Trauma;Jul2006, Vol. 8 Issue 3, p169 

    Advanced airway management in the prehospital arena remains controversial. This paper aims to explore some of the evidence and options available and propose a way forward. Options for provision of, and training in, pre-hospital emergency anaesthesia are explored and alternative strategies are...

  • Worst-case scenario intubation of laryngeal granuloma: a case report. Nakahira, Junko; Sawai, Toshiyuki; Matsunami, Sayuri; Minami, Toshiaki // BMC Research Notes;2014, Vol. 7 Issue 1, p1 

    Background Intubation of patients with laryngeal granulomas on the vocal folds are sometimes difficult to manage because of potential airway obstruction. Laryngeal granulomas usually have flexible stalks where they attach to the vocal folds. We report a worst-case scenario of dislocation of the...

  • El tubo endotraqueal no protege contra la aspiración de un cuerpo extrañ o hacia adentro de la tráquea: reporte de caso. Palta, Sanjeev; Saroa, Richa; Saini, Vikas // Colombian Journal of Anesthesiology / Revista Colombiana de Anes;2014, Vol. 42 Issue 2, p129 

    We describe a case of a 26 year old patient wherein a temperature probe introduced through the nose for intra operative temperature monitoring was inadvertently cut during the ongoing surgical procedure. The missing segment of the probe was retrieved from the trachea which formed an unusual site...

  • Are the obese difficult to intubate? Tapley, P. // BJA: The British Journal of Anaesthesia;Apr2015, Vol. 114 Issue 4, p709 

    No abstract available.

  • Complete airway obstruction with inferior turbinate avulsion after nasotracheal intubation. GOYAL, VIPIN KUMAR; SOLANKI, SOHAN LAL; PAREKH, AMRITA U.; GUPTA, PRAKASH // Saudi Journal of Anaesthesia;Jan-Mar2016, Vol. 10 Issue 1, p114 

    The article discusses the case of a 41 year old physical grade 2 male patient posted for hemimandibulectomy. An examination of the removed endotracheal tube (ETT) showed that the lumen at the patient end was completely occluded including Murphy's eye by soft-tissue possibly avulsed inferior...

  • Work of Breathing in Eucapnic and Hypercapnic Sleep Apnea Syndrome. Mei-Yu Lee; Ching-Chi Lin; Sheng-Yeh Shen; Chung-Hsin Chiu; Shwu-Fang Liaw // Respiration;2009, Vol. 77 Issue 2, p146 

    Background: Upper airways in patients with obstructive sleep apnea syndrome (OSAS) are more likely narrower than those of normal subjects, a factor in increasing the work of breathing (WOB) in these individuals. Objectives: To evaluate WOB while sitting and while supine, both awake and during...

  • Malfunction of heat and moisture exchanger filters: Causality or unresolved problem? Esquinas, Antonio M.; Pravinkumar, S. Egbert // Journal of Anaesthesiology Clinical Pharmacology;Apr2013, Vol. 29 Issue 2, p285 

    A letter to the editor is presented in response to the article "Failed Ventilation Due to Heat and Moisture Exchanger Filters Malfunction" by S. J. Bajwa and colleagues in a 2012 issue.

  • Failed ventilation due to heat and moisture exchange filter malfunction: A difficult diagnostic scenario. Singh Bajwa, Sukhminder Jit; Singh, Amarjit // Journal of Anaesthesiology Clinical Pharmacology;Apr2013, Vol. 29 Issue 2, p286 

    A response from the author of the article "Failed Ventilation Due to Heat and Moisture Exchanger Filters Malfunction" in a 2012 issue is presented.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics