THE DIFFICULT AIRWAY IN THE PEDIATRIC PATIENT WITH CRANIOFACIAL ANOMALY

1998 ◽  
Vol 16 (4) ◽  
pp. 839-852 ◽  
Author(s):  
Charles D. Nargozian
Keyword(s):  
Difficult Airway ◽  
Pediatric Patient ◽  
Craniofacial Anomaly

scholarly journals Use of Awake Flexible Fiberoptic Bronchoscopic Nasal Intubation in Secure Airway Management for Reconstructive Surgery in a Pediatric Patient with Burn Contracture of the Neck

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Tolga Totoz ◽  
Kerem Erkalp ◽  
Sirin Taskin ◽  
Ummahan Dalkilinc ◽  
Aysin Selcan
Keyword(s):  
Airway Management ◽  
Difficult Airway ◽  
Pediatric Patient ◽  
Reconstructive Surgery ◽  
Management Technique ◽  
Anesthesia Induction ◽  
Nasal Intubation ◽  
Stepwise Approach ◽  
Patient Cooperation ◽  
Trial Phase

Although the use of awake flexible fiberoptic bronchoscopic (FFB) intubation is a well-recognized airway management technique in patients with difficult airway, its use in smaller children with burn contractures or in an uncooperative older child may be challenging. Herein, we report successful management of difficult airway in a 7-year-old boy with burn contracture of the neck, by application of FFB nasal intubation in a stepwise approach, first during an initial preoperative trial phase to increase patient cooperation and then during anesthesia induction for the reconstructive surgery planned for burn scars and contractures. Our findings emphasize the importance of a preplanned algorithm for airway control in secure airway management and feasibility of awake FFB intubation in a pediatric patient with burn contracture of the neck during anesthesia induction for reconstructive surgery. Application of FFB intubation based on a stepwise approach including a trial phase prior to operation day seemed to increase the chance of a successful intubation in our patient in terms of technical expertise and increased patient cooperation and tolerance by enabling familiarity with the procedure.

Difficult Airway

2018 ◽  
Author(s):  
Paul Hopkins ◽  
Laura Ryan
Keyword(s):  
Difficult Airway ◽  
Neuromuscular Blockade ◽  
Pediatric Patient ◽  
Mouth Opening ◽  
Facial Asymmetry ◽  
Limited Mouth Opening ◽  
Mandibular Hypoplasia

The management of the difficult airway is one of the most challenging situations an anesthesiologist may encounter. The pediatric patient provides unique challenges such as lack of cooperation, rapid desaturation while apneic, and the presence of syndromes with craniofacial manifestations not frequently encountered in adults. These craniofacial manifestations may include mandibular hypoplasia, facial asymmetry, and limited mouth opening, to name a few. This chapter presents a case of a 5-year-old boy with Klippel-Feil syndrome and discusses the different aspects involved when dealing with a difficult airway in a pediatric patient, including the use of fiberoptic devices, neuromuscular blockade, and sedative premedication.

Case report: Multimodal spinal anesthesia in a pediatric patient with a difficult airway☆

2013 ◽  
Vol 41 (3) ◽  
pp. 218-222
Author(s):  
William Diaz Herrera ◽  
Hector Fidel Osorio Zambrano ◽  
Miguel Francisco Sandoval Cabrera
Keyword(s):  
Case Report ◽  
Difficult Airway ◽  
Spinal Anesthesia ◽  
Pediatric Patient

scholarly journals Case report: Multimodal spinal anesthesia in a pediatric patient with a difficult airway

2013 ◽  
Vol 41 (3) ◽  
pp. 218-222
Author(s):  
William Diaz Herrera ◽  
Hector Fidel Osorio Zambrano ◽  
Miguel Francisco Sandoval Cabrera
Keyword(s):  
Case Report ◽  
Difficult Airway ◽  
Spinal Anesthesia ◽  
Pediatric Patient
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