Failed fiberoptic intubation in a child with epidermolysis bullosa, rescued with combined use of the Glidescope®.
| Autor: | Fitzmaurice BC; Department of Anaesthetics, Birmingham Children's Hospital, Birmingham, UK., Lambert BG; Department of Anaesthetics, Birmingham Children's Hospital, Birmingham, UK. |
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| Jazyk: | angličtina |
| Zdroj: | Paediatric anaesthesia [Paediatr Anaesth] 2016 Apr; Vol. 26 (4), pp. 455-6. Date of Electronic Publication: 2016 Feb 04. |
| DOI: | 10.1111/pan.12852 |
| Abstrakt: | We present the case of a 13-year-old male with epidermolysis bullosa having an elective syndactyly release. These patients present significant challenges to the anaesthetist; extreme care in patient handling is required. Recurrent and pronounced scarring of intra-oral, pharyngeal and laryngeal tissues is a feature, resulting in a difficult airway. Following a failed intubation using a fibreoptic bronchoscope, we describe a combined technique by adding in the Glidescope(®). This proved immediately successful. Its utilisation has been reported in adults. We wish to present our experience in the paediatric population, and this is the first report in a child with epidermiolysis bullosa. (© 2016 John Wiley & Sons Ltd.) |
| Databáze: | MEDLINE |
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