Difficult fiberoptic tracheal intubation in 1 month-old infant with Treacher Collins Syndrome
Abstract Neonates and small infants with craniofacial malformation may be very difficult or impossible to mask ventilate or intubate. We would like to report the fiberoptic intubation of a small infant with Treacher Collins Syndrome using the technique described by Ellis et al. Case report: An one...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Anestesiologia
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| Series: | Revista Brasileira de Anestesiologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942018000100087&lng=en&tlng=en |
| _version_ | 1811204247896719360 |
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| author | Ricardo Fuentes Juan Carlos De la Cuadra Hector Lacassie Alejandro González |
| author_facet | Ricardo Fuentes Juan Carlos De la Cuadra Hector Lacassie Alejandro González |
| author_sort | Ricardo Fuentes |
| collection | DOAJ |
| description | Abstract Neonates and small infants with craniofacial malformation may be very difficult or impossible to mask ventilate or intubate. We would like to report the fiberoptic intubation of a small infant with Treacher Collins Syndrome using the technique described by Ellis et al. Case report: An one month-old infant with Treacher Collins Syndrome was scheduled for mandibular surgery under general endotracheal anesthesia. Direct laryngoscopy for oral intubation failed to reveal the glottis. Fiberoptic intubation using nasal approach and using oral approach through a 1.5 size laryngeal mask airway were performed; however, both approach failed because the fiberscope loaded with a one 3.5 mm ID uncuffed tube was stuck inside the nasal cavity or inside the laryngeal mask airway respectively. Therefore, the laryngeal mask airway was keep in place and the fiberoptic intubation technique described by Ellis et al. was planned: the tracheal tube with the 15 mm adapter removed was loaded proximally over the fiberscope; the fiberscope was advanced under video-screen visualization into the trachea; the laryngeal mask airway was removed, leaving the fiberscope in place; the tracheal tube was passed completely through the laryngeal mask airway and advanced down over the fiberscope into the trachea; the fiberscope was removed and the 15 mm adapter was reattached to the tracheal tube. Conclusion: The fiberoptic intubation method through a laryngeal mask airway described by Ellis et al. can be successfully used in small infants with Treacher Collins Syndrome. |
| first_indexed | 2024-04-12T03:08:43Z |
| format | Article |
| id | doaj.art-4b8255336589437086f400d8242fda6b |
| institution | Directory Open Access Journal |
| issn | 1806-907X |
| language | English |
| last_indexed | 2024-04-12T03:08:43Z |
| publisher | Sociedade Brasileira de Anestesiologia |
| record_format | Article |
| series | Revista Brasileira de Anestesiologia |
| spelling | doaj.art-4b8255336589437086f400d8242fda6b2022-12-22T03:50:25ZengSociedade Brasileira de AnestesiologiaRevista Brasileira de Anestesiologia1806-907X681879010.1016/j.bjane.2015.02.004S0034-70942018000100087Difficult fiberoptic tracheal intubation in 1 month-old infant with Treacher Collins SyndromeRicardo FuentesJuan Carlos De la CuadraHector LacassieAlejandro GonzálezAbstract Neonates and small infants with craniofacial malformation may be very difficult or impossible to mask ventilate or intubate. We would like to report the fiberoptic intubation of a small infant with Treacher Collins Syndrome using the technique described by Ellis et al. Case report: An one month-old infant with Treacher Collins Syndrome was scheduled for mandibular surgery under general endotracheal anesthesia. Direct laryngoscopy for oral intubation failed to reveal the glottis. Fiberoptic intubation using nasal approach and using oral approach through a 1.5 size laryngeal mask airway were performed; however, both approach failed because the fiberscope loaded with a one 3.5 mm ID uncuffed tube was stuck inside the nasal cavity or inside the laryngeal mask airway respectively. Therefore, the laryngeal mask airway was keep in place and the fiberoptic intubation technique described by Ellis et al. was planned: the tracheal tube with the 15 mm adapter removed was loaded proximally over the fiberscope; the fiberscope was advanced under video-screen visualization into the trachea; the laryngeal mask airway was removed, leaving the fiberscope in place; the tracheal tube was passed completely through the laryngeal mask airway and advanced down over the fiberscope into the trachea; the fiberscope was removed and the 15 mm adapter was reattached to the tracheal tube. Conclusion: The fiberoptic intubation method through a laryngeal mask airway described by Ellis et al. can be successfully used in small infants with Treacher Collins Syndrome.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942018000100087&lng=en&tlng=enSíndrome de Treacher CollinsVia aérea difícilBroncoscópio de fibra óptica |
| spellingShingle | Ricardo Fuentes Juan Carlos De la Cuadra Hector Lacassie Alejandro González Difficult fiberoptic tracheal intubation in 1 month-old infant with Treacher Collins Syndrome Revista Brasileira de Anestesiologia Síndrome de Treacher Collins Via aérea difícil Broncoscópio de fibra óptica |
| title | Difficult fiberoptic tracheal intubation in 1 month-old infant with Treacher Collins Syndrome |
| title_full | Difficult fiberoptic tracheal intubation in 1 month-old infant with Treacher Collins Syndrome |
| title_fullStr | Difficult fiberoptic tracheal intubation in 1 month-old infant with Treacher Collins Syndrome |
| title_full_unstemmed | Difficult fiberoptic tracheal intubation in 1 month-old infant with Treacher Collins Syndrome |
| title_short | Difficult fiberoptic tracheal intubation in 1 month-old infant with Treacher Collins Syndrome |
| title_sort | difficult fiberoptic tracheal intubation in 1 month old infant with treacher collins syndrome |
| topic | Síndrome de Treacher Collins Via aérea difícil Broncoscópio de fibra óptica |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942018000100087&lng=en&tlng=en |
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