Successful airway management with combined use of a McGRATHTM MAC videolaryngoscope and fiberoptic bronchoscope in a patient with congenital tracheal stenosis diagnosed in adulthood

Abstract Background Most patients with congenital tracheal stenosis (CTS) develop respiratory symptoms early in life. CTS remaining undiagnosed until adulthood is rare. Case presentation A 51-year-old female was scheduled for cardiovascular surgery. She had undergone laparoscopic surgery 3 years ear...

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Main Authors: Shoko Hasegawa, Kenichiro Koda, Masashi Uzawa, Haruka Kimura, Rie Kimura, Takayuki Kitamura
Format: Article
Language:English
Published: SpringerOpen 2021-06-01
Series:JA Clinical Reports
Subjects:
Online Access:https://doi.org/10.1186/s40981-021-00452-w
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author Shoko Hasegawa
Kenichiro Koda
Masashi Uzawa
Haruka Kimura
Rie Kimura
Takayuki Kitamura
author_facet Shoko Hasegawa
Kenichiro Koda
Masashi Uzawa
Haruka Kimura
Rie Kimura
Takayuki Kitamura
author_sort Shoko Hasegawa
collection DOAJ
description Abstract Background Most patients with congenital tracheal stenosis (CTS) develop respiratory symptoms early in life. CTS remaining undiagnosed until adulthood is rare. Case presentation A 51-year-old female was scheduled for cardiovascular surgery. She had undergone laparoscopic surgery 3 years earlier and was found to have a difficult airway. Postoperatively, she was diagnosed with CTS. For the current cardiovascular surgery, combined use of a McGRATHTM MAC videolaryngoscope and fiberoptic bronchoscope allowed sufficient visualization of the glottis and trachea, resulting in successful intubation. Conclusions CTS patients have a high probability of difficult intubation. Our experience suggests the efficacy of combined use of a videolaryngoscope and fiberoptic bronchoscope for airway management in CTS patients.
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spelling doaj.art-5eead41ac12e43b88c4f0096382094da2022-12-21T20:07:47ZengSpringerOpenJA Clinical Reports2363-90242021-06-01711510.1186/s40981-021-00452-wSuccessful airway management with combined use of a McGRATHTM MAC videolaryngoscope and fiberoptic bronchoscope in a patient with congenital tracheal stenosis diagnosed in adulthoodShoko Hasegawa0Kenichiro Koda1Masashi Uzawa2Haruka Kimura3Rie Kimura4Takayuki Kitamura5Department of Anesthesiology, Toho University Sakura Medical CenterDepartment of Anesthesiology, Toho University Sakura Medical CenterDepartment of Anesthesiology, Toho University Sakura Medical CenterDepartment of Anesthesiology, Toho University Sakura Medical CenterDepartment of Anesthesiology, Toho University Sakura Medical CenterDepartment of Anesthesiology, Toho University Sakura Medical CenterAbstract Background Most patients with congenital tracheal stenosis (CTS) develop respiratory symptoms early in life. CTS remaining undiagnosed until adulthood is rare. Case presentation A 51-year-old female was scheduled for cardiovascular surgery. She had undergone laparoscopic surgery 3 years earlier and was found to have a difficult airway. Postoperatively, she was diagnosed with CTS. For the current cardiovascular surgery, combined use of a McGRATHTM MAC videolaryngoscope and fiberoptic bronchoscope allowed sufficient visualization of the glottis and trachea, resulting in successful intubation. Conclusions CTS patients have a high probability of difficult intubation. Our experience suggests the efficacy of combined use of a videolaryngoscope and fiberoptic bronchoscope for airway management in CTS patients.https://doi.org/10.1186/s40981-021-00452-wDifficult airway managementTracheal intubationVideolaryngoscopeFiberoptic bronchoscopeComplete tracheal ringsPulmonary artery sling
spellingShingle Shoko Hasegawa
Kenichiro Koda
Masashi Uzawa
Haruka Kimura
Rie Kimura
Takayuki Kitamura
Successful airway management with combined use of a McGRATHTM MAC videolaryngoscope and fiberoptic bronchoscope in a patient with congenital tracheal stenosis diagnosed in adulthood
JA Clinical Reports
Difficult airway management
Tracheal intubation
Videolaryngoscope
Fiberoptic bronchoscope
Complete tracheal rings
Pulmonary artery sling
title Successful airway management with combined use of a McGRATHTM MAC videolaryngoscope and fiberoptic bronchoscope in a patient with congenital tracheal stenosis diagnosed in adulthood
title_full Successful airway management with combined use of a McGRATHTM MAC videolaryngoscope and fiberoptic bronchoscope in a patient with congenital tracheal stenosis diagnosed in adulthood
title_fullStr Successful airway management with combined use of a McGRATHTM MAC videolaryngoscope and fiberoptic bronchoscope in a patient with congenital tracheal stenosis diagnosed in adulthood
title_full_unstemmed Successful airway management with combined use of a McGRATHTM MAC videolaryngoscope and fiberoptic bronchoscope in a patient with congenital tracheal stenosis diagnosed in adulthood
title_short Successful airway management with combined use of a McGRATHTM MAC videolaryngoscope and fiberoptic bronchoscope in a patient with congenital tracheal stenosis diagnosed in adulthood
title_sort successful airway management with combined use of a mcgrathtm mac videolaryngoscope and fiberoptic bronchoscope in a patient with congenital tracheal stenosis diagnosed in adulthood
topic Difficult airway management
Tracheal intubation
Videolaryngoscope
Fiberoptic bronchoscope
Complete tracheal rings
Pulmonary artery sling
url https://doi.org/10.1186/s40981-021-00452-w
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