Abstract
A 5-year-old girl with Goldenhar's syndrome was scheduled for reconstruction of her left thumb. Because her preanesthetic X-p had revealed airway abnormality, difficult intubation was anticipated. After induction of anesthesia with thiamylal, the lungs were ventilated easily via a facemask. A perilaryngeal airway (PLA) was inserted after obtaining adequate depth of anesthesia with sevoflurane. Anesthesia was maintained with sevoflurane (2%) plus nitrous oxide (66%) under spontaneous ventilation. The operation was finished uneventfully. However, a re-operation was scheduled for postoperative hemorrhage on that day. In consideration of potential regurgitation of gastric con tent, endotracheal intubation was scheduled. Her vocal cord was confirmed with a videolaryngoscope, and she was intubated successfully. In conclusion, a PLA and a videolaryngoscope are useful for airway management of patients with Goldenhar's syndrome for whom difficulty in intubation is anticipated.
Original language | English |
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Pages (from-to) | 1367-1370 |
Number of pages | 4 |
Journal | Japanese Journal of Anesthesiology |
Volume | 54 |
Issue number | 12 |
Publication status | Published - 2005 Dec 1 |
Externally published | Yes |
Keywords
- Difficult intubation
- Goldenhar's syndrome
- Perilaryngeal airway
- Videolaryngoscope
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine