PDF herunterladen
CC-BY-NC-ND 4.0 · J Neuroanaesth Crit Care 2016; 03(03): 259-261
DOI: 10.4103/2348-0548.190080
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Airtraq® aided tracheal intubation in a patient of Down’s syndrome with traumatic atlantoaxial dislocation

Obaid A. Siddiqi
Department of Anaesthesiology and Critical Care, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
,
Shahna Ali
Department of Anaesthesiology and Critical Care, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
,
Manazir Athar
Department of Anaesthesiology and Critical Care, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
,
Asad Mahmood
1   Department of Neurosurgery, Jawaharlal Nehru Medical College and Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
05. Mai 2018 (online)

Auch verfügbar auf
   Lizenzen und Reprints

Abstract

Down’s syndrome is a genetic disorder that is associated with multiple congenital anomalies having great impact on anaesthetic management. Apart from this, it also predisposes the patient to the atlantoaxial dislocation making the management of airway a difficult task. In our case, the child already had traumatic atlantoaxial dislocation that further makes the successful airway management without progression of any neurological injury a challenge. Hereby, we report the successful management of an 8-year-old child with Down’s syndrome and traumatic atlantoaxial dislocation using Airtraq® optical laryngoscope.

Keywords

Airtraq - atlantoaxial dislocation - Down syndrome - intubation
 

  • REFERENCES

  • 1 Meitzner MC, Skurnowicz JA. Anesthetic considerations for patients with Down syndrome. AANA J 2005; 73: 103-7
    PubMedSuche in Google Scholar
  • 2 Moore RA, McNicholas KW, Warran SP. Atlantoaxial subluxation with symptomatic spinal cord compression in a child with Down's syndrome. Anesth Analg 1987; 66: 89-90
    CrossrefPubMedSuche in Google Scholar
  • 3 Kandasamy R, Sivalingam P. Use of sevoflurane in difficult airways. Acta Anaesthesiol Scand 2000; 44: 627-9
    CrossrefPubMedSuche in Google Scholar
  • 4 Brimacombe J, Berry A. Laryngeal mask airway insertion. A comparison of the standard versus neutral position in normal patients with a view to its use in cervical spine instability. Anaesthesia 1993; 48: 670-1
    CrossrefPubMedSuche in Google Scholar
  • 5 Nakazawa K, Tanaka N, Ishikawa S, Ohmi S, Ueki M, Saitoh Y. et al. Using the intubating laryngeal mask airway (LMA-Fastrach) for blind endotracheal intubation in patients undergoing cervical spine operation. Anesth Analg 1999; 89: 1319-21
    CrossrefPubMedSuche in Google Scholar
  • 6 Suppan L, Tramèr MR, Niquille M, Grosgurin O, Marti C. Alternative intubation techniques vs Macintosh laryngoscopy in patients with cervical spine immobilization: Systematic review and meta-analysis of randomized controlled trials. Br J Anaesth 2016; 116: 27-36
    CrossrefPubMedSuche in Google Scholar
  • 7 Maharaj CH, Buckley E, Harte BH, Laffey JG. Endotracheal intubation in patients with cervical spine immobilization: A comparison of Macintosh and Airtraq laryngoscopes. Anesthesiology 2007; 107: 53-9
    CrossrefPubMedSuche in Google Scholar
  • 8 Ndoko SK, Amathieu R, Tual L, Polliand C, Kamoun W, El Housseini L. et al. Tracheal intubation of morbidly obese patients: A randomized trial comparing performance of Macintosh and Airtraq laryngoscopes. Br J Anaesth 2008; 100: 263-8
    CrossrefPubMedSuche in Google Scholar