Fiberoptic tracheal intubation through a classicial laryngeal mask airway under spontaneous ventilation in a child with treacher Collins Syndrome

Kuo Chuan Hung, Jieh Min Shiau, Ya Ling Yang, Chia Chih Tseng

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

Abstract

This report cites the usefulness of fiberoptic scope-guided endotracheal tube intubation through a classical laryngeal mask airway (LMA) during spontaneous breathing. Treacher Collins Syndrome (TCS) is a condition where airway management is stressful to anesthesiologists. We report a pediatric patient with TCS undergoing cleft palate repair. The patient had a history of sleep apnea syndrome, chronic lung disease, and congenital heart disease. Intubation by rigid laryngoscopy was unsuccessful at the first attempt. One month later, under spontaneous ventilation, tracheal intubation was smoothly performed with the use of a fiberoptic scope through an LMA under intravenous anesthesia with propofol. Fiberoptic scope-guided endotracheal intubation through an LMA with the push of another ETT of the same size to curb the back slippage of the endotracheal tube already inserted in the trachea can be easily and safely performed under spontaneous breathing in a pediatric patient with TCS.

Original languageEnglish
Pages (from-to)223-226
Number of pages4
JournalActa Anaesthesiologica Taiwanica
Volume44
Issue number4
Publication statusPublished - 2006 Dec 1

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

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