Airway management in a pediatric patient with post-burn neck contracture using i-gel

Year 2014, Volume: 5 Issue: 2, - , 01.06.2014

Taner Çiftçi Hayrettin Daşkaya Caferi Tayyar Selçuk Mustafa Durğun Mehmet Beşir Yıldırım Fikret Salık

https://doi.org/10.5799/ahinjs.01.2014.02.0407

Cited By: 1

Abstract

I-gel is a supraglottic airway device that has been used for emergency airway management. In this report, we present a case in which airway management is facilitated using I-gel. Scar revision was planned in a 12-year-old male patient with limited ability to extend the neck and restricted oral opening because of post-burn contracture. The patient was ventilated successfully achieved using the supraglottic I-gel method. This new airway device may appropriate in cases with asymmetric airways in which airway management is difficult. J Clin Exp Invest 2014; 5 (2): 301-303

Keywords

Post-burn neck contracture , airway management , I-gel.

Yanık sonrası boyun kontraktürlü çocuk hastada i-gel kullanarak hava yolu yönetimi

Abstract

Boyunda var olan yanık sonrası gelişmiş kontraktürler, hava yolu yönetiminde ciddi problemlere yol açabilmektedir. Bu olguda alev yanığı sonrasında ciddi boyun kontraktürüne bağlı gelişen ekstansiyon kısıtlılığı ve kısıtlı ağız açıklığı olan 12 yaşındaki erkek çocuk hastadaki zor hava yolu yönetimi sunulmuştur. Hastada no:2.5 i-gel supraglottic airway ile ventilasyon sağlandı. Bu yeni hava yolu aracı hava yolu yönetimi zor olan asimetrik hava yolu olan olgularda uygundur.

Keywords

Yanık sonrası boyun kontraktürü , havayolu yönetimi , I-jel

References

• Gray H. Use of Cormack and Lehane grading with vide- olaryngoscopy. Anaesth Intensive Care 2013;41:123.
• www.tard.org.tr/kilavuz/2.pdf
• Park CD, Lee HK, Yim JY, Kang IH. Anesthetic man- agement for a patient with severe mento-sternal con- tracture: difficult airway and scarce venous access -A case report Korean J Anesthesiol 2013;64:61-64.
• American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Practice guide- lines for management of the difficult airway: an up- dated report by the American Society of Anesthesi- ologists Task Force on Management of the Difficult Airway. Anesthesiology 2003;98:1269-1277.
• Sheridan RL, Ryan DP, Fuzaylov G, et al. Case records of the Massachusetts General Hospital. Case 5-2008. An 18-month-old girl with an advanced neck contrac- ture after a burn. N Engl J Med. 2008;358:729-735. doi: 10.1056/NEJMcpc0708792.
• Han TH, Teissler H, Han RJ, et al. Managing difficult airway in patients with post-burn mentosternal and circumoral scar contractures. Int J Burns Trauma 2012;2:80-85.
• Bartolek D, Frick A. Huge Multinodular goiter with mid trachea obstruction: indication for fiberoptic intuba- tion. Acta Clin Croat 2012;51:493-498.
• Singh J, Yadav MK, Marahatta SB, Shrestha BL. Ran- domized crossover comparison of the laryngeal mask air way classic with i-gel laryngeal mask airway in the management of difficult airway in post burn neck con- tracture patients. Indian J Anaesth 2012;56:348-352.
• Bamgbade OA, Macnab WR, Khalaf WM. Evaluation of the i-gel airway in 300 patients. Eur J Anaesthesiol 2008;25:865-866.