Autor: |
Emma, Möhlenkamp, Eva K, Kohse, Phillip B, Sasu, Tanja, Peters, Jörn, Grensemann, Philipp, Breitfeld, Martin, Petzoldt |
Rok vydání: |
2022 |
Předmět: |
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Zdroj: |
A&A Practice. 16:e01615 |
ISSN: |
2575-3126 |
DOI: |
10.1213/xaa.0000000000001615 |
Popis: |
This report describes a patient with Goldenhar syndrome undergoing anesthesia for whom Macintosh videolaryngoscopy failed, as the epiglottis was adhered to the posterior pharynx and could not be lifted with a tracheal introducer (Cormack-Lehane grade 3B). Hyperangulated videolaryngoscopy revealed only the arytenoids (Cormack-Lehane grade 2B), even after direct lifting of the epiglottis, and endotracheal tube advancement failed due to unclear tissue resistance. Hyperangulated videolaryngoscopy was combined with a tube-mounted camera (VivaSight single lumen tube). The combination of both camera perspectives was successfully used to allow placement of the endotracheal tube underneath the epiglottis and through the vocal cords. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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