VivaSight Single-Lumen Tube Combined With Hyperangulated Videolaryngoscopy to Rescue Failed Tracheal Intubation in a Patient With Goldenhar Syndrome: A Case Report

Autor: Emma, Möhlenkamp, Eva K, Kohse, Phillip B, Sasu, Tanja, Peters, Jörn, Grensemann, Philipp, Breitfeld, Martin, Petzoldt
Rok vydání: 2022
Předmět:
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