Airtraq for Difficult Intubation in Moriquos Syndrome
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 2
Abstract
Introduction: Airway management in pediatric patients with atlanto-axial dislocation in the presence of craniofacial abnormalities is challenging. Moriquo’s syndrome is characterized by high incidence of abnormality at the craniovertebral junction with mucopolysaccharide deposit in the airway resulting in difficult airway management. Airtraq as a conduit for fibreoptic intubation in difficult airway is not reported Moriquo’s ssyndrome. We report successful tracheal intubation in a child with Moriquio’s syndrome with atlantoaxial dislocation using this technique. Case report: An eleven year old child with Moriquo’s syndrome was scheduled for occipito-cervical fixation for atlantoaxial instability and odontoid hypoplasia. Airway examination revealed macroglossia, prognathism, short neck with restricted movements. General anesthesia with spontaneous ventilation was administered using sevoflurane. Despite a glottic view of grade I we failed to intubate using Airtraq. Using Airtraq as a conduit, intubation was accomplished using fibreoptic endoscope with the endotracheal tube threaded on it. Intubation was accomplished successfully with minimal movement of cervical spine. The postoperative recovery was unremarkable and patient had no fresh neurological deficit postoperatively. Conclusion: Use of Airtraq as a conduit for fibreoptic intubation is an easy, safe and efficient airway management option in patients with difficult intubation with CV junction anomalies.
Authors and Affiliations
Jyothima Pippalapalli
Keywords
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