scholarly journals Unanticipated Difficulty in an Anticipated Difficult Airway in the Neurointervention Suite: A Case Report

2018 ◽  
Vol 05 (03) ◽  
pp. 190-192
Author(s):  
Rajashree Uday Gandhe ◽  
Chinmaya Pradeep Bhave ◽  
Avinash Sahebarav Kakde ◽  
Kalyani Anand Sathe
Keyword(s):  
Case Report ◽  
Airway Management ◽  
Difficult Airway ◽  
Vascular Malformation ◽  
Vascular Malformations ◽  
Anesthetic Management ◽  
Endovascular Embolization ◽  
Airway Compromise

AbstractAirway management of patients with craniofacial vascular malformations poses many challenges. Establishment of a secure airway is a prerequisite for safe anesthetic management of these patients. We report a case of a 45-year-old man presenting with a facial vascular malformation involving the tongue, parapharynx, and extending into the neck, resulting in airway compromise scheduled for endovascular embolization.

scholarly journals Difficult airway management in a child with Goldenhar Syndrome- A case report

2021 ◽  
Vol 29 (1) ◽  
pp. 59
Author(s):  
Malaka Munasinghe ◽  
Nishanthan Subramaniam ◽  
Nimalan Srisothinathan ◽  
Binoy Ranatunga ◽  
Kasun Ranaweera ◽  
...  
Keyword(s):  
Case Report ◽  
Airway Management ◽  
Difficult Airway ◽  
Goldenhar Syndrome ◽  
Difficult Airway Management

scholarly journals Difficult intubation and anesthetic management in an adult patient with undiagnosed congenital tracheal stenosis: a case report

2020 ◽  
Vol 48 (4) ◽  
pp. 030006052091126
Author(s):  
Ji-A Song ◽  
Hong-Beom Bae ◽  
Jeong-Il Choi ◽  
Jeonghyeon Kang ◽  
Seongtae Jeong
Keyword(s):  
Case Report ◽  
Difficult Airway ◽  
Endotracheal Tube ◽  
Adult Patient ◽  
Tracheal Stenosis ◽  
Difficult Intubation ◽  
Anesthetic Management ◽  
Congenital Tracheal Stenosis ◽  
Post Intubation ◽  
Unusual Situation

In the operating room, unanticipated difficult intubation can occur and anesthesiologists can experience challenging situations. Undiagnosed tracheal stenosis caused by congenital factors, trauma, tumors, or post-intubation injury, can make advancing the endotracheal tube difficult. We present an adult patient in whom we were unable to pass an endotracheal tube into the trachea. This was caused by undiagnosed congenital mid-tracheal stenosis with complete tracheal rings. When faced with an unanticipated difficult airway, the anesthesiologist needs to comprehend the results of preoperative evaluations. If an unusual situation (e.g., congenital tracheal stenosis) occurs, active cooperation with other departments should be considered.

Difficult airway management of a child with Blepharophimosis Syndrome: Case report

2017 ◽  
pp. 1
Author(s):  
Ahmet Ozkan ◽  
Nihat Polat ◽  
Sedat Akbas ◽  
Zeynep Kuylu ◽  
Mahmut Durmus
Keyword(s):  
Case Report ◽  
Airway Management ◽  
Difficult Airway ◽  
Difficult Airway Management

scholarly journals When can we give general anesthesia to an infant with anticipated difficult airway management caused by facial vascular malformation?

2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Kumi Moriyama ◽  
Masanori Mitsuda ◽  
Masakazu Kurita ◽  
Mine Ozaki ◽  
Kiyoshi Moriyama ◽  
...  
Keyword(s):  
Airway Management ◽  
General Anesthesia ◽  
Difficult Airway ◽  
Vascular Malformation ◽  
Difficult Airway Management

scholarly journals Anesthetic management of a patient with airway stenosis due to a giant goiter and severe pulmonary hypertension: A case report

2021 ◽  
Author(s):  
Akihisa Taguchi ◽  
Akiko Hirotsu ◽  
Misaki Saito Sato ◽  
Toshiyuki Mizota
Keyword(s):  
Pulmonary Hypertension ◽  
Case Report ◽  
Extracorporeal Membrane Oxygenation ◽  
Difficult Airway ◽  
Anesthetic Management ◽  
Severe Pulmonary Hypertension ◽  
Airway Stenosis ◽  
Membrane Oxygenation ◽  
Venoarterial Extracorporeal Membrane Oxygenation

Anesthetic management of patients with severe pulmonary hypertension combined with a difficult airway is challenging. The present case suggests that the use of venoarterial extracorporeal membrane oxygenation is useful for safe anesthetic management.

scholarly journals Combating Airway Issues with Elective Use of an I Gel in a Child with Goldenhar Syndrome

2021 ◽  
Vol 7 (3) ◽  
Author(s):  
Shilpi Sethi ◽  
Manish Sethi
Keyword(s):  
Case Report ◽  
Airway Management ◽  
Difficult Airway ◽  
Facial Asymmetry ◽  
Preoperative Assessment ◽  
Goldenhar Syndrome ◽  
Surgical Removal ◽  
Hemifacial Microsomia ◽  
Oculoauriculovertebral Spectrum ◽  
Limbal Dermoid

Introduction: Goldenhar syndrome is an oculoauriculovertebral spectrum attributed to the developmental anomalies of the first and second brachial arches. Its typical presentation in children with hemifacial microsomia poses a dual challenge for the anaesthesiologist on account of difficult airway often compounded with systemic abnormalities. Case report: We describe a case report wherein a 5 year female presented to the oculoplastic clinic of our hospital for surgical removal of limbal dermoid under general anaesthesia. Airway examination revealed classical facial asymmetry with underdevelopment of jaw bone coupled with protruding incisors. A predicted difficult airway, more so in a child led us to choose an anaesthesia technique with preservation of spontaneous breathing and planned use of supraglottic device in the form of an I Gel for airway management. Conclusion: The aim of this case report is to highlight the anaesthetic implications of this not so uncommon entity presenting to ophthalmology and ENT clinics. A thorough preoperative assessment, adequate preparedness and alternative plans are keys for successful airway management in such syndromic children. Keywords: Goldenhar syndrome, hemifacial microsomia, I Gel

Intramuscular small vessel arteriovenous malformation of the left ventricle in an asymptomatic adolescent: a case report and literature review

2013 ◽  
Vol 23 (5) ◽  
pp. 656-660 ◽  
Author(s):  
Amy N. McCammond ◽  
Erin R. Rudzinski ◽  
Brian J. Morrison ◽  
Michael Silberbach
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Left Ventricle ◽  
Vascular Malformation ◽  
Vascular Malformations ◽  
Small Vessel ◽  
Resonance Imaging ◽  
Marked Contrast ◽  
Primary Intramuscular

AbstractPrimary vascular tumours of the heart are rare and heterogeneous in their presentation and classification. We present a primary intramuscular vascular malformation of the left ventricle in an asymptomatic 12-year-old girl. Characteristics on cardiac magnetic resonance imaging, specifically increased signal intensity on T2-weighted images, and marked contrast enhancement with gadolinium were suggestive of increased vascularity. Histologically, the mass was determined to be an intramuscular vascular malformation of the small vessel arteriovenous subtype. This represents one of a select few intramuscular vascular malformations of the left ventricle reported in children. Our patient remains completely asymptomatic and has had no change in the size and appearance of the mass after more than 30 months of follow-up.

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