Difficult airway management with the Bonfils fiberscope in a child with Hurler syndrome

Aucoin, Sylvie; Vlatten, Arnim; Hackmann, Thomas

doi:10.1111/j.1460-9592.2008.02922.x

Cited by 14 publications

(9 citation statements)

References 5 publications

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“…Limitations are extremely restricted mouth opening or a planed nasal intubation when classical fibreoptic intubation is needed. The report of Aucoin (4), describing this technique in a child with Hurler syndrome, supports our opinion that the pediatric bonfils fiberscope is a very useful and an atraumatic device for difficult airway management in children. However, further evaluation of this technique in far higher numbers of children is needed to confirm this.…”

Section: Discussionsupporting

confidence: 56%

Management of a difficult airway in a child with partial trisomy 1 mosaic using the pediatric bonfils fiberscope

Laschat

Kaufmann

Wappler

2010

Pediatric Anesthesia

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References1 Mariano ER, Ilfeld BM, Ceng GS et al. Feasibility of ultrasoundguided periperal nerve block catheters for pain control on pediatric medical missions in developing countries. Pediatr Anesth 2008; 18: 598-601. 2 Rubin K, Sullivan D, Sadhasivam S. Are peripheral and neuraxial blocks with ultrasound guidance more effective and safe in children? Paediatr Anaesth 2009; 19(2): 92-96. 3 Lacroix F. Epidemiology and morbidity of regional anaesthesia in children. Curr Opin Anaesthesiol 2008; 21(3): 345-349. 4 Oberndorfer U, Marhofer P, Bö senberg A et al. Ultrasonographic guidance for sciatic and femoral nerve blocks in children. Br

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Section: Discussionsupporting

confidence: 56%

Management of a difficult airway in a child with partial trisomy 1 mosaic using the pediatric bonfils fiberscope

Laschat

Kaufmann

Wappler

2010

Pediatric Anesthesia

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“…Awake fibreoptic intubations have been previously described in pediatric [20,21] and adult [22] cases of Morquio syndrome. However, the deposition of soft tissue in the neck and oropharynx in Morquio syndrome may present difficulties for conventional fibreoptic intubation, mandating consideration of lighted stylets or fibreoptic stylets[23]. Successful use of a supraglottic airway device as a conduit for fibreoptic -guided tracheal intubation has been described in Hunters syndrome[24].…”

Section: Discussionmentioning

confidence: 99%

Anaesthetic considerations of adults with Morquio's syndrome - a case report

et al. 2010

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BackgroundThe anaesthetic management of patients with Morquio syndrome is complicated by a number of factors including odontoid hypoplasia, atlantoaxial instability, thoracic kyphosis, and deposition of mucopolysaccharides in the soft tissue of the oropharnyx.Case presentationHerein we describe the anaesthetic considerations and management of a 26 year old adult with Morquio syndrome, who presented for an elective hip replacement.ConclusionThis report details an awake fiberoptic intubation in an adult with Morquio syndrome. We recommend that this approach be considered in patients with Morquio syndrome undergoing general anaesthesia.

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“…[3] Because scoliosis is related with other diseases and symptoms it may affect airway management like in Hurler disease or a short stature. [9,10] The incidence of difficult intubation may exceed 23% in a Hurler disease patient. [9] In kyphoscoliosis patients and practitioners should be aware of difficult airway management.…”

Section: Definition Incidence Of the Difficult Airwaymentioning

confidence: 99%

“…[9,10] The incidence of difficult intubation may exceed 23% in a Hurler disease patient. [9] In kyphoscoliosis patients and practitioners should be aware of difficult airway management. Limited neck movement is another problem in patients with scoliosis including the cervical vertebrae.…”

Section: Definition Incidence Of the Difficult Airwaymentioning

confidence: 99%

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Kyphoscoliosis and difficult airway management

Saraçoğlu¹

2015

FNG & Bilim Tıp Dergisi

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Kyphoscoliosis is generally idiopathic and female dominant disease and the prevalence can vary between 0.3-15.3%. Anesthesia for both adult and pediatric patients with scoliosis can present a variety of challenges, because of some other diseases accompany to scoliosis. One of challenges is airway management. Problems with airway management may be fatal for patients. Basic preparations should be ready for airway management in a situation of unanticipated difficult airway. Besides there should be more than one plan and practitioners. If a strategy fails one should quickly change to another approach. Appropriate equipment beginning from laryngoscopes to a cricothyroid puncture kit should be available regarding practitioner's experience on devices. Extubation of a patient with difficult airway is important as tracheal intubation. Low reintubation rates and patient comfort are the most important issues for the extubation of patients with difficult airway.Keywords: Anesthesia; difficult airway; kyphoscoliosis. Kifoskolyoz ve zor havayolu yönetimi ÖZKifoskolyoz genel olarak idiopatik ve kadın dominant bir hastalıktır ve prevalansı %0.3-15.3 arasında değişebilir. Eşlik eden bazı hastalıklar nedeniyle gerek erişkin gerekse de pediatrik skolyoz hastaları için anestezi birçok zorluklar içerebilmektedir. Zorluklardan biri havayolu yönetimidir. Havayolu yönetimiyle ilgili sorunlar hastalar için ölümcül olabilir. Beklenen yada beklenmeyen zor havayolu durumu için temel hazırlıklar hazır bulundurulmalıdır. Bununla birlikte birden fazla plan ve uygulayıcı olmalıdır. Eğer bir stratejide başarısızlık olursa hızlıca diğer yaklaşıma geçilebilmelidir. Uygulayıcının aygıtlar üzerindeki deneyimine göre laringoskoplardan krikoidotomi kitine kadar uygun ekipman bulundurulmalıdır. Bir zor havayolu hastasının ekstübasyonu trakeal entübasyon kadar önemlidir. Düşük reentübasyon oranları ve hasta konforu zor havayoluna sahip hastaların ekstübasyonu için en önemli konulardandır.

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Difficult airway management with the Bonfils fiberscope in a child with Hurler syndrome

Cited by 14 publications

References 5 publications

Management of a difficult airway in a child with partial trisomy 1 mosaic using the pediatric bonfils fiberscope

Management of a difficult airway in a child with partial trisomy 1 mosaic using the pediatric bonfils fiberscope

Anaesthetic considerations of adults with Morquio's syndrome - a case report

Kyphoscoliosis and difficult airway management

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