İleri Derecede Kifoskolyotik Çocukta Lateral Pozisyonda Fiberoptik Entübasyon

Yıl 2016, , 149 - 152, 30.04.2016

Ahmet Özkan , Sedat Akbaş Zekine Begeç Zeynep Köylü Mahmut Durmuş

https://doi.org/10.21673/anadoluklin.180741

Öz

Kifoskolyoz, omurganın eğriliği ve rotasyonunun beraber görüldüğü, ciddi bir anatomik anormalliktir. Sendromların eşlik edebileceği kifoskolyoz, genel anestezi sırasında zor havayoluna neden olabilir. Bu yazıda, dental tedavi nedeniyle genel anestezi uygulanan ve supin pozisyon verilemeyecek kadar ileri derecede kifoskolyotik olan bir çocuk hastadaki zor havayolu yönetimi deneyimimizi sunmayı amaçladık.

Anahtar Kelimeler

fiberoptik entübasyon, lateral pozisyon, kifoskolyoz, çocuk

Fiber-Optic Intubation of a Child with Advanced Kyphoscoliosis in the Lateral Position

Öz

Kyphoscoliosis is a serious anatomical abnormality in the form of lateral curvature and rotation of the spine. Kyphoscoliosis that may be accompanied by syndromes can also cause difficulty with airway management during general anesthesia. In this report, we aimed to present our experience of difficult airway management with a child patient who could not be put in the supine position due to advanced kyphoscoliosis and underwent general anesthesia for dental treatment.

Anahtar Kelimeler

fiber-optic intubation, lateral position, kyphoscoliosi, kyphoscoliosis, kyphoscoliosis

Kaynakça

• McMaster MJ, Glasby MA, Singh H, Cunningham S. Lung function in congenital kyphosis and kyphoscolio- sis. J Spinal Disord Tech. 2007;20(3):203–8.
• Veliath DG, Sharma R, Ranjan R, Kumar CR, Ramac- handran T. Parturient with kyphoscoliosis (operated) for cesarean section. J Anaesthesiol Clin Pharmacol. 2012;28(1):124–6.
• Moran DH, Johnson MD. Continuous spinal anesthesia with combined hyperbaric and isobaric bupivacaine in a patient with scoliosis. Anesth Analg. 1990;70(4):445–7.
• Benumof JL. The ASA Management of the of the diffi- cult airway algorithm and explanation-analysis of the algorithm. In: Benumof JL (ed.), Airway Management: Principles and Practice. St. Louis: Mosby-Year Book; 1996;150.
• Batra YK, Mathew P. Airway management with endot- racheal intubation (including awake intubation and blind intubation. Indian J Anaesth. 2005;49(4):263–8.
• De Hert S, Imberger G, Carlisle J, Diemunsch P, Fritsch G, Moppett I, et al. Preoperative evaluation of the adult patient undergoing non-cardiac surgery: guidelines from the European Society of Anaesthesiology. Eur J Anaesthesiol. 2011;28(10):684–722.
• Saracoglu KT, Eti Z, Kavas AD, Umuroglu T. Straight video blades are advantageous than curved blades in si- mulated pediatric difficult intubation. Paediatr Anaesth. 2014;24(3):297–302.
• Law JA, Broemling N, Cooper RM, Drolet P, Duggan LV, Griesdale DE, et al. The difficult airway with recommen- dations for management--part 2--the anticipated diffi- cult airway. Can J Anaesth. 2013;60(11):1119–38.