Patients with Klippel-Feil Syndrome (KFS) have congenital fusion of their cervical vertebrae due to a failure in the normal segmentation of the cervical vertebrae during the early weeks of gestation and also have myriad of other associated anomalies. Because of limited neck mobility, airway management in these patients can be a challenge for the anesthesiologist. We describe a unique case in wh...

When anesthesiologists encounter conditions in which intubation is not possible using a conventional direct laryngoscope, they can consider using other available techniques and devices such as fiber optic bronchoscope (FOB)-guided intubation, a laryngeal mask airway (LMA), intubating LMA (ILMA), a light wand, and the Combitube. FOB-guided intubation is frequently utilized in predicted difficult...

239 Remifentanil Infusion for Awake Fiberoptic Intubation in an Obstetric Patient Abstract Type: Case Report/Case Series Allison J. Lee, M.D., M.B., B.S.; Allison Lee, M.D.; Jennifer Cohn, M.D.; Bruce Saltzman, M.D. University of Miami Miller School of MedicineType: Case Report/Case Series Allison J. Lee, M.D., M.B., B.S.; Allison Lee, M.D.; Jennifer Cohn, M.D.; Bruce Saltzman, M.D. University ...

PURPOSE To present a case of preoperative subcutaneous emphysema (SCE) as a complication of trans-cricothyroid membrane (TCM) injection of lidocaine for awake intubation. CLINICAL FEATURES A 48-yr-old man with cervical myelopathy was scheduled for elective cervical discectomy. Airway topical anesthesia consisted of lidocaine pledgets and TCM injection. After successful awake fibreoptic intuba...