Use of GlideScope Ranger in the management of a child with Treacher Collins syndrome in a developing world setting

Bishop, Sophie; Clements, Paul; Kale, Kaustubh; Tremlett, Michael

doi:10.1111/j.1460-9592.2009.03021.x

Cited by 35 publications

(17 citation statements)

References 4 publications

(4 reference statements)

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“…Several case reports have been published on this subject, all showing improved views or successful intubations compared with direct laryngoscopy. 10,11,14,15 In controlled trials in difficult pediatric airway scenarios, the results become somewhat controversial. Three studies are published on the use of the GlideScope in known or simulated difficult airway anatomy.…”

Section: Discussionmentioning

confidence: 98%

A Comparison of the GlideScope Video Laryngoscope and Standard Direct Laryngoscopy in Children With Immobilized Cervical Spine

Vlatten¹,

Litz²,

MacManus³

et al. 2012

Pediatric Emergency Care

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Section: Discussionmentioning

confidence: 98%

A Comparison of the GlideScope Video Laryngoscope and Standard Direct Laryngoscopy in Children With Immobilized Cervical Spine

Vlatten¹,

Litz²,

MacManus³

et al. 2012

Pediatric Emergency Care

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“…The two cases of failed intubation resulting in cancelation of the procedure were both from around 30 years ago and would be unlikely to occur in this era with our current equipment options and training in their use. Many different strategies of airway management, including most of those we used, have been described in individual case reports for airway management in children with TCS (5,11–42). These are summarized in Table 5.…”

Section: Discussionmentioning

confidence: 99%

Anesthesia for Treacher Collins syndrome: a review of airway management in 240 pediatric cases

Hosking

Zoanetti

Carlyle

et al. 2012

Pediatric Anesthesia

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“…Fiberoptic tracheal intubation can be performed through a LMA, and some authors have reported the usefulness of LMA for maintaining airway patency in patients with TCS [2,5]. On the other hand, Sophie et al reported the usefulness of GlideScope for tracheal intubation in patient with TCS [6]. However, in our case LMA or GlideScope could not be used because of severe limitation of mouth opening.…”

Section: Discussionmentioning

confidence: 62%

Airway Management for Treacher Collins Syndrome with Limited Mouth Opening

Sato

Hanamoto

Kudo

et al. 2013

OJAnes

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Patients with Treacher Collins Syndrome (TCS) present unique airway management problems for anesthesiologists due to mandibular micrognathia, the small oral aperture, and temporomandibular joint anomalies. We describe the case of a pediatric TCS patient with limited mouth opening who experienced severe airway obstruction during deep inhalation anesthesia (sevoflurane following i.v. midazolam) for routine dental work. When difficult airway management is expected, intubation of conscious patients is a well-recognized technique in adults; however, it is rarely appropriate for pediatric patients who usually do not cooperate. According to general anesthesia algorithms for pediatric patients with difficult airways, in most pediatric patients, tracheal intubation is performed after the induction of general anesthesia and some authors have reported the usefulness of LMA for maintaining airway patency in patients with TCS. However, in our case LMA could not be used because of severe limitation of mouth opening. In addition, the LMA is so bulky that it is impossible to insert a LMA into patients with narrow airway anatomy. We initially planned to carry out fiberoptic intubation while awake and under sedation if the airway patency could not be secured after the induction of anesthesia. The patient was sedated properly with midazolam and sevoflurane, and awake fiberoptic intubation was performed uneventfully. Our experience in this case highlighted that careful planning of backup contingencies is important in achieving fiberoptic intubation and maintaining airway patency in pediatric TCS patients with limited mouth opening, and that awake intubation can be successful even in pediatric patients.

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Use of GlideScope Ranger in the management of a child with Treacher Collins syndrome in a developing world setting

Cited by 35 publications

References 4 publications

A Comparison of the GlideScope Video Laryngoscope and Standard Direct Laryngoscopy in Children With Immobilized Cervical Spine

A Comparison of the GlideScope Video Laryngoscope and Standard Direct Laryngoscopy in Children With Immobilized Cervical Spine

Anesthesia for Treacher Collins syndrome: a review of airway management in 240 pediatric cases

Airway Management for Treacher Collins Syndrome with Limited Mouth Opening

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