Difficult intubation during rapid sequence induction in a parturient with Ehlers-Danlos syndrome, hypermobility type

Sood, V.; Robinson, David; Suri, I.

doi:10.1016/j.ijoa.2009.03.012

Cited by 14 publications

(19 citation statements)

References 27 publications

(46 reference statements)

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“…In 5-10% of individuals with this disorder, there is a mutation in one copy of the TNXB gene, which encodes for the tenascin-X protein in collagen; tenascin-X provides structure, strength, and flexibility to connective tissue [3].…”

Section: Discussionmentioning

confidence: 99%

“…A score of at least five out of nine determines joint hypermobility [3,8]. The skin is normal or only slightly increased extensibility.…”

Section: Discussionmentioning

confidence: 99%

“…The major criteria of diagnosis are the skin laxity, velvet skin, and the joint hypermobility; the minor ones are recurrent joint dislocations and chronic limb or joint pain. [2,3] It has been considered for long time a mild form of EDS, but this conception is not correct because it is the more invalid one for the muscular impairment, and in some patients, it has been described vascular and cardiac disfunction, including mitral valve prolapse, aortic dilatation, and aortic dissection/rupture [4].…”

Section: Introductionmentioning

confidence: 99%

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Ehlers–Danlos syndrome: case report and an electron microscopy study

et al. 2011

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Ehlers-Danlos syndrome (EDS) type III is a inherited connective tissue disorders characterized by extensibility of the skin, hypermobility of the joints, chronic pain, tissue fragility, easy bruising, and delayed wound healing with result of atrophic scars. The patients report commonly a history of recurrent dislocations of the shoulders and knees after low-impact trauma, chronic joint pain, and early osteoarthritis, which lead to diagnosis. The pathogenesis of this condition is unknown, and the diagnosis is generally made in adult age, based only on clinical criteria. In this report, we describe a case of a 50-year-old woman with a 30-year history of recurrent dislocations and atrophic scars. We performed diagnosis of EDS type III after a complete clinical and instrumental evaluation, comprising of histological and electron microscopic studies, that highlighted collagen abnormalities.

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Section: Discussionmentioning

confidence: 99%

“…A score of at least five out of nine determines joint hypermobility [3,8]. The skin is normal or only slightly increased extensibility.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Ehlers–Danlos syndrome: case report and an electron microscopy study

et al. 2011

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“…5,15 Furthermore, intubation may be difficult because of possible collapse of the upper airway as reported in a patient with the hypermobility type EDS. 16 In our patient, several known risk factors for a postintubation tracheal rupture were present: female gender, short stature with obesity, chronic use of corticosteroids, an endo- tracheal tube at 22-cm depth, and coughing during the emergence from general anesthesia. Interestingly, this case report suggests that tenascin-X deficiency may be a risk factor for tracheal rupture.…”

Section: Discussionmentioning

confidence: 64%

Trachea Rupture in Tenascin-X-deficient Type Ehlers–Danlos Syndrome

Besselink-Lobanova¹,

Maandag²,

Voermans³

et al. 2010

Anesthesiology

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“…During general anesthesia, attention should be paid to careful patient positioning and padding of areas susceptible to the effects of pressure, in order to prevent tissue damage. Sood and colleagues [ 127 ] reported a case of diffi cult intubation during rapid sequence induction in a patient with the hypermobility subtype of EDS. They suggested that when diffi cult intubation is encountered using this technique, releasing the cricoid pressure may help to alleviate the obstruction that can result from a collapsed trachea.…”

Section: Anesthetic Management Of Edsmentioning

confidence: 99%

Peri-delivery Analgesia and Anesthesia in Women with Hemostatic or Thrombotic Disorders

Emanuel-Kole

Bell

2015

Disorders of Thrombosis and Hemostasis in Pregnancy

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It is well recognised that labor is painful. Analgesia is therefore required by the vast majority of parturients during labor and delivery. Central neuraxial blockade is the most effective form of analgesia in labor and also the most desirable type of anesthesia for peripartum operative interventions. Inadequate hemostasis is a contraindication to central neuraxial blockade. This chapter will discuss all forms of analgesia available to the laboring woman with a hemostatic or thrombotic disorder, and the implications of abnormalities of hemostasis, with particular emphasis on central neuraxial blockade.

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Difficult intubation during rapid sequence induction in a parturient with Ehlers-Danlos syndrome, hypermobility type

Cited by 14 publications

References 27 publications

Ehlers–Danlos syndrome: case report and an electron microscopy study

Ehlers–Danlos syndrome: case report and an electron microscopy study

Trachea Rupture in Tenascin-X-deficient Type Ehlers–Danlos Syndrome

Peri-delivery Analgesia and Anesthesia in Women with Hemostatic or Thrombotic Disorders

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