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Novel airway management in a child with Goldenhar Syndrome at a remote location.

Bhandary SP, Keebler A, Balan S, Papadimos TJ - Heart Lung Vessel (2015)

View Article: PubMed Central - PubMed

Affiliation: The Ohio State University Wexner Medical Center, Department of Anesthesiology, Columbus, Ohio.

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Fiberoptic bronchoscopy allowed visualization of the vocal cords... However, passing the scope through the small glottic opening was unsuccessful... Subsequently the fiberoptic bronchoscope (FOB) was passed through the LMA, and vocal cords were visualized... A 3.5 mm cuffed endotracheal tube (ETT) was successfully advanced into the trachea through the LMA... Although the ETT was well positioned, the end of the LMA was too close to the end of the ETT, thus making it impossible to secure the tube safely for transport... However, the length of the tube was limiting; another 3.5 mm cuffed ETT was threaded over the existing ETT, and then the LMA was slowly threaded over the tubes and removed (Figure 1)... Transport of the patient to the MRI suite proved uneventful... The process of securing a difficult airway with tenuous single ventricle physiology poses a unique challenge... In this report we present our colleagues with a situation that required skillful application of knowledge in terms of obtaining an airway while maintaining the goal of patient safety under anesthesia... Successful management of such a case requires vigilance, foresight, and attention to detail.

No MeSH data available.


A 3.5 mm cuffed endotracheal tube (ETT) advanced through an layrngeal mask airway (LMA) with a second 3.5 mm cuffed ETT threaded over it.
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Figure 001: A 3.5 mm cuffed endotracheal tube (ETT) advanced through an layrngeal mask airway (LMA) with a second 3.5 mm cuffed ETT threaded over it.


Novel airway management in a child with Goldenhar Syndrome at a remote location.

Bhandary SP, Keebler A, Balan S, Papadimos TJ - Heart Lung Vessel (2015)

A 3.5 mm cuffed endotracheal tube (ETT) advanced through an layrngeal mask airway (LMA) with a second 3.5 mm cuffed ETT threaded over it.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4476772&req=5

Figure 001: A 3.5 mm cuffed endotracheal tube (ETT) advanced through an layrngeal mask airway (LMA) with a second 3.5 mm cuffed ETT threaded over it.

View Article: PubMed Central - PubMed

Affiliation: The Ohio State University Wexner Medical Center, Department of Anesthesiology, Columbus, Ohio.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Fiberoptic bronchoscopy allowed visualization of the vocal cords... However, passing the scope through the small glottic opening was unsuccessful... Subsequently the fiberoptic bronchoscope (FOB) was passed through the LMA, and vocal cords were visualized... A 3.5 mm cuffed endotracheal tube (ETT) was successfully advanced into the trachea through the LMA... Although the ETT was well positioned, the end of the LMA was too close to the end of the ETT, thus making it impossible to secure the tube safely for transport... However, the length of the tube was limiting; another 3.5 mm cuffed ETT was threaded over the existing ETT, and then the LMA was slowly threaded over the tubes and removed (Figure 1)... Transport of the patient to the MRI suite proved uneventful... The process of securing a difficult airway with tenuous single ventricle physiology poses a unique challenge... In this report we present our colleagues with a situation that required skillful application of knowledge in terms of obtaining an airway while maintaining the goal of patient safety under anesthesia... Successful management of such a case requires vigilance, foresight, and attention to detail.

No MeSH data available.