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

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.

journal_name

J Anesth

journal_title

Journal of anesthesia

authors

Iguchi H,Sasano N,So M,Hirate H,Sasano H,Katsuya H

doi

10.1007/s00540-007-0598-7

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

186-8

issue

2

eissn

0913-8668

issn

1438-8359

journal_volume

22

pub_type

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