Fiberoptic intubation through a laryngeal mask airway as a management of difficult airwary due to the fusion of the entire cervical spine - A report of two cases -
نویسندگان
چکیده
Patients with cervical spine instability and limited range of motion are challenge to anesthesiologists. It is important to consider alternatetive methods for securing the airway while maintaining neutral position and minimizing neck motion, because these patients are at increased risk for tracheal intubation failure and neurologic injury during airway management or position change. We experienced two cases that patients had cervical spine instability and severe limited range of motion due to the fusion of the entire cervical spine. One patient was a 6-year-old girl weighing 12.7 kg and had Klippel-Feil syndrome with Arnold-Chiari malformation, the other was a 24-year-old female weighing 31 kg and had juvenile rheumatoid arthritis. We successfully performed the intubation by using the fiberoptic intubation though a laryngeal mask airway in these two cases.
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Most cause of difficult intubation are anatomically disorders such as micrognathia, head and neck deformities, cervical spine disorders .Most of post-anesthetic harmful complications are due to airway management problems and hypoxemia. Therefore one of the most important points in the airway management is the appropriate selection of safe policy. In this study we introduce a 79 – years old man...
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Airway management is the most important duty of an anesthetist, so more attention should be paid on different educational approaches in tackling difficult airway. Having problems in airway control leads to terrible consequences such as hypoxia and aspiration. Intubation with fiberoptic is a useful method for a safe airway management. When neck movement is not possible due to cervical spine ...
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