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

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 Ameloblastic fibro-odontoma: case report

2017 ◽  
Vol 65 (3) ◽  
pp. 265-269
Author(s):  
Cintia Gollo PIVA ◽  
Daniela Cristina MIYAGAKI ◽  
Maria Salete LINDEN ◽  
Ferdinando DE CONTO ◽  
Isadora RINALDI ◽  
...  
Keyword(s):  
Case Report ◽  
Facial Asymmetry ◽  
Odontogenic Tumor ◽  
Surgical Removal ◽  
Tumor Site ◽  
Treatment Methods ◽  
Anatomical Region ◽  
Radiolucent Lesion

ABSTRACT The ameloblastic fibro-odontoma is a benign, mixed, asymptomatic and rare odontogenic tumor that can easily be confused radiographically and histologically with other diseases. Usually it affects a population between the first and second decades of life, is more frequent in the mandible and shows predilection for males. This lesion, characterized by dental agenesis at the tumor site, has no predilection for anatomical region; however, an increase of intraoral volume may cause mild facial asymmetry. It shows slow but expansive growth, and is a well-defined radiolucent lesion, usually unilocular, with radiopacity inside. Normally surgical removal is conservative and the prognosis is favorable. This article reports a case of ameloblastic fibro-odontoma treated by surgical removal and follow-up of two years. The aim of this work was to study the ameloblastic fibro-odontoma in its entirety, seeking to inform clinicians about the best diagnostic and treatment methods for this type lesion.

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.

Airway management in a patient with Goldenhar syndrome: a case report

2008 ◽  
Vol 20 (3) ◽  
pp. 214-217 ◽  
Author(s):  
Wariya Sukhupragarn ◽  
William H. Rosenblatt
Keyword(s):  
Case Report ◽  
Airway Management ◽  
Goldenhar Syndrome

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

Impact of repeated simulation on learning curve characteristics of residents exposed to rare life threatening situations

2019 ◽  
Vol 6 (6) ◽  
pp. 351-355 ◽  
Author(s):  
Sree Kumar E J ◽  
Makani Purva ◽  
Sarat Chander M ◽  
Aruna Parameswari
Keyword(s):  
Airway Management ◽  
Learning Curve ◽  
Difficult Airway ◽  
Assessment Tool ◽  
Preoperative Assessment ◽  
Technical Skills ◽  
Preoperative Care ◽  
Management Skill ◽  
Simulation Based ◽  
Induction Sequence

BackgroundLittle is known about the learning curve characteristics of residents undertaking simulation-based education. It is important to understand the time for acquisition and decay of knowledge and skills needed to manage rare and difficult clinical situations.MethodTen anaesthesiology residents underwent simulation-based education to manage a cannot intubate cannot ventilate scenario during general anaesthesia for caesarean section. Their performance was measured using an assessment tool and debriefed by two experienced anaesthesiologists. The parameters against which the performance was judged were grouped into preoperative assessment, preoperative patient care, equipment availability, induction sequence, communication and adherence to airway algorithm protocol. The scenario was repeated at 6 and 12 months thereafter. The residents’ acquisition of knowledge, technical and non-technical skills were assessed and compared at baseline, 6 months and end of 12 months.ResultThe skills of preoperative assessment, preoperative care and communication quickly improved but the specific skill of managing a difficult airway as measured by adherence to an airway algorithm required more than 6 months (CI at 6 vs 12 months: −3.4 to –0.81, p=0.016). The skills of preoperative assessment and preoperative care improved to a higher level quickly and were retained at this improved level. Communication (CI at 0 vs 6 months: −3.78 to −0.22, p=0.045 and at 6 vs 12 months : −3.39 to −1.49, p=0.007) and difficult airway management skill were slower to improve but continued to do so over the 12 months. The compliance to machine check was more gradual and showed an improvement at 12 months.ConclusionOur study is unique in analysing the learning curve characteristics of different components of a failed obstetric airway management skill. Repeated simulations over a longer period of time help in better reinforcement, retention of knowledge, recapitulation and implementation of technical and non-technical skills.

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