BibTex RIS Kaynak Göster

Kyphoscoliosis and difficult airway management

Yıl 2015, Cilt: 1 Sayı: 1, 43 - 47, 18.08.2015
https://doi.org/10.5606/fng.btd.2015.009

Öz

Kyphoscoliosis is generally idiopathic and female dominant disease and the prevalence can vary between 0.3-15.3%. Anesthesia for both adult and pediatric patients with scoliosis can present a variety of challenges, because of some other diseases accompany to scoliosis. One of challenges is airway management. Problems with airway management may be fatal for patients. Basic preparations should be ready for airway management in a situation of unanticipated difficult airway. Besides there should be more than one plan and practitioners. If a strategy fails one should quickly change to another approach. Appropriate equipment beginning from laryngoscopes to a cricothyroid puncture kit should be available regarding practitioner’s experience on devices. Extubation of a patient with difficult airway is important as tracheal intubation. Low reintubation rates and patient comfort are the most important issues for the extubation of patients with difficult airway.

Keywords: Anesthesia; difficult airway; kyphoscoliosis.

Kaynakça

  • Bansal N, Gupta S. Anaesthetic management of a parturient with severe kyphoscoliosis. Kathmandu Univ Med J (KUMJ) 2008;6:379-82.
  • Anand HK, Ambareesha M. Scoliosis and anaesthetic considerations. Indian J Anaesth 2007;51:486-95.
  • Kitayama M, Ohtomo N, Sakai T, Matsuki A. Airway management and rigid spine syndrome. Anesth Analg 1997;84:690-1.
  • Veliath DG, Sharma R, Ranjan R, Kumar CR, Ramachandran T. Parturient with kyphoscoliosis (operated) for cesarean section. J Anaesthesiol Clin Pharmacol 2012;28:124-6.
  • Raw DA, Beattie JK, Hunter JM. Anaesthesia for spinal surgery in adults. Br J Anaesth 2003;91:886-904.
  • Vandenberghe W, Jacobs TF, Plasschaert FS, Willems J, Den Blauwen NM, Vereecke HE, et al. Anesthesia and perioperative management for a patient with Ullrich syndrome undergoing surgery for scoliosis. Acta Anaesthesiol Belg 2010;61:43-7.
  • Kundra P, Joseph A, Kumar S, Sai Chandran BV. Double-lumen tube for ventilation in severe kyphoscoliosis. J Anesth 2008;22:317-21.
  • Cobb JR: Outline for the study of scoliosis. Instructional course lecture. Am Acad Orthop Surg 1948;5:261.
  • Aucoin S, Vlatten A, Hackmann T. Difficult airway management with the Bonfils fiberscope in a child with Hurler syndrome. Paediatr Anaesth 2009;19:421-2.
  • Gopalakrishna KN, Sriganesh K. Optimal depth of tracheal intubation in severe scoliosis. Chest 2012;142:813-4.
  • Saracoglu KT, Eti Z, Kavas AD, Umuroglu T. Straight video blades are advantageous than curved blades in simulated pediatric difficult intubation. Paediatr Anaesth 2014;24:297-302.
  • A, Novotny Z, Maldini B, Gavranovic Z. Difficult airway management in a polytraumatized patient with osteogenesis imperfecta and multiple congenital spinal and thoracic deformities and severe kyphoscoliosis: case report. Acta Clin Croat 2012;51:489-91.
  • Apfelbaum JL, Hagberg CA, Caplan RA, Blitt CD, Connis RT, Nickinovich DG, et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2013;118:251-70.
  • Nİrskov AK, Rosenstock CV, Wetterslev J, Lundstrİm LH. Incidence of unanticipated difficult airway using an objective airway score versus a standard clinical airway assessment: the DIFFICAIR trial - trial protocol for a cluster randomized clinical trial. Trials 2013;14:347.
  • Shukry M, Hanson RD, Koveleskie JR, Ramadhyani U. Management of the difficult pediatric airway with Shikani Optical Stylet. Paediatr Anaesth 2005;15:342-5.
  • Cook TM, MacDougall-Davis SR. Complications
  • and failure of airway management. Br J Anaesth 2012;109:68-i85.
  • Healy DW. At higher risk of difficulty is not true difficulty: the challenge of device performance assessment in the difficult airway. Anesthesiology 2012;117:912-3.
  • Etezadi F, Ahangari A, Shokri H, Najafi A, Khajavi MR, Daghigh M, et al. Thyromental height: a new clinical test for prediction of difficult laryngoscopy. Anesth Analg 2013;117:1347-51.
  • Yildiz TS, Solak M, Toker K. The incidence and risk factors of difficult mask ventilation. J Anesth 2005;19:7-11.
  • Law JA, Broemling N, Cooper RM, Drolet P, Duggan LV, Griesdale DE, et al. The difficult airway with recommendations for management--part 1--difficult tracheal intubation encountered in an unconscious/ induced patient. Can J Anaesth 2013;60:1089-118.
  • Saracoglu KT, Eti Z, Gogus FY. Airtraq optical
  • laryngoscope: advantages and disadvantages. Middle East J Anaesthesiol 2013;22:135-41.
  • Healy DW, Maties O, Hovord D, Kheterpal S. A systematic review of the role of videolaryngoscopy in successful orotracheal intubation. BMC Anesthesiol 2012;12:32.
  • Hagberg CA, Vogt-Harenkamp C, Kamal J. A
  • retrospective analysis of airway management in obese patients at a teaching institution. J Clin Anesth 2009;21:348-51.
  • Biro P. A proposal for a systematic classification of airway devices similar to the Linnaean taxonomy. Eur J Anaesthesiol 2012;29:499-503.
  • Batra YK, Mathew P. Airway management with endotracheal intubation (including awake intubation and blind intubation. Indian J Anaesth 2005;49:263-268.
  • 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;28:684-722.
  • Asai T. Monitoring during difficult airway management. J Anesth 2014;28:87-93.
  • Law JA, Broemling N, Cooper RM, Drolet
  • P, Duggan LV, Griesdale DE, et al. The difficult airway with recommendations for management--part 2--the anticipated difficult airway. Can J Anaesth 2013;60:1119-38.
  • Difficult Airway Society Extubation Guidelines Group, Popat M, Mitchell V, Dravid R, Patel A, Swampillai C, Higgs A. Difficult Airway Society Guidelines for the management of tracheal extubation. Anaesthesia 2012;67:318-40.
  • Cavallone LF, Vannucci A. Review article: Extubation of the difficult airway and extubation failure. Anesth Analg 2013;116:368-83.
  • Goranovic T, Maldini B, Markic A, Milic M, Skuric J. Extubation strategy following difficult intubation. Acta Clin Croat 2012;51:499-503.
  • Biro P, Priebe HJ. Staged extubation strategy: is an airway exchange catheter the answer? Anesth Analg 2007;105:1182-5.
  • Cook TM, Woodall N, Frerk C. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Br J Anaesth 2011;106:617-31.
  • Cherng CH, Wong CS, Hsu CH, Ho ST. Airway length in adults: estimation of the optimal endotracheal tube length for orotracheal intubation. J Clin Anesth 2002;14:271-4.

Kifoskolyoz ve zor havayolu yönetimi

Yıl 2015, Cilt: 1 Sayı: 1, 43 - 47, 18.08.2015
https://doi.org/10.5606/fng.btd.2015.009

Öz

Kifoskolyoz genel olarak idiopatik ve kadın dominant bir hastalıktır ve prevalansı %0.3-15.3 arasında değişebilir. Eşlik eden bazı hastalıklar nedeniyle gerek erişkin gerekse de pediatrik skolyoz hastaları için anestezi birçok zorluklar içerebilmektedir. Zorluklardan biri havayolu yönetimidir. Havayolu yönetimiyle ilgili sorunlar hastalar için ölümcül olabilir. Beklenen yada beklenmeyen zor havayolu durumu için temel hazırlıklar hazır bulundurulmalıdır. Bununla birlikte birden fazla plan ve uygulayıcı olmalıdır. Eğer bir stratejide başarısızlık olursa hızlıca diğer yaklaşıma geçilebilmelidir. Uygulayıcının aygıtlar üzerindeki deneyimine göre laringoskoplardan krikoidotomi kitine kadar uygun ekipman bulundurulmalıdır. Bir zor havayolu hastasının ekstübasyonu trakeal entübasyon kadar önemlidir. Düşük reentübasyon oranları ve hasta konforu zor havayoluna sahip hastaların ekstübasyonu için en önemli konulardandır

Kaynakça

  • Bansal N, Gupta S. Anaesthetic management of a parturient with severe kyphoscoliosis. Kathmandu Univ Med J (KUMJ) 2008;6:379-82.
  • Anand HK, Ambareesha M. Scoliosis and anaesthetic considerations. Indian J Anaesth 2007;51:486-95.
  • Kitayama M, Ohtomo N, Sakai T, Matsuki A. Airway management and rigid spine syndrome. Anesth Analg 1997;84:690-1.
  • Veliath DG, Sharma R, Ranjan R, Kumar CR, Ramachandran T. Parturient with kyphoscoliosis (operated) for cesarean section. J Anaesthesiol Clin Pharmacol 2012;28:124-6.
  • Raw DA, Beattie JK, Hunter JM. Anaesthesia for spinal surgery in adults. Br J Anaesth 2003;91:886-904.
  • Vandenberghe W, Jacobs TF, Plasschaert FS, Willems J, Den Blauwen NM, Vereecke HE, et al. Anesthesia and perioperative management for a patient with Ullrich syndrome undergoing surgery for scoliosis. Acta Anaesthesiol Belg 2010;61:43-7.
  • Kundra P, Joseph A, Kumar S, Sai Chandran BV. Double-lumen tube for ventilation in severe kyphoscoliosis. J Anesth 2008;22:317-21.
  • Cobb JR: Outline for the study of scoliosis. Instructional course lecture. Am Acad Orthop Surg 1948;5:261.
  • Aucoin S, Vlatten A, Hackmann T. Difficult airway management with the Bonfils fiberscope in a child with Hurler syndrome. Paediatr Anaesth 2009;19:421-2.
  • Gopalakrishna KN, Sriganesh K. Optimal depth of tracheal intubation in severe scoliosis. Chest 2012;142:813-4.
  • Saracoglu KT, Eti Z, Kavas AD, Umuroglu T. Straight video blades are advantageous than curved blades in simulated pediatric difficult intubation. Paediatr Anaesth 2014;24:297-302.
  • A, Novotny Z, Maldini B, Gavranovic Z. Difficult airway management in a polytraumatized patient with osteogenesis imperfecta and multiple congenital spinal and thoracic deformities and severe kyphoscoliosis: case report. Acta Clin Croat 2012;51:489-91.
  • Apfelbaum JL, Hagberg CA, Caplan RA, Blitt CD, Connis RT, Nickinovich DG, et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology 2013;118:251-70.
  • Nİrskov AK, Rosenstock CV, Wetterslev J, Lundstrİm LH. Incidence of unanticipated difficult airway using an objective airway score versus a standard clinical airway assessment: the DIFFICAIR trial - trial protocol for a cluster randomized clinical trial. Trials 2013;14:347.
  • Shukry M, Hanson RD, Koveleskie JR, Ramadhyani U. Management of the difficult pediatric airway with Shikani Optical Stylet. Paediatr Anaesth 2005;15:342-5.
  • Cook TM, MacDougall-Davis SR. Complications
  • and failure of airway management. Br J Anaesth 2012;109:68-i85.
  • Healy DW. At higher risk of difficulty is not true difficulty: the challenge of device performance assessment in the difficult airway. Anesthesiology 2012;117:912-3.
  • Etezadi F, Ahangari A, Shokri H, Najafi A, Khajavi MR, Daghigh M, et al. Thyromental height: a new clinical test for prediction of difficult laryngoscopy. Anesth Analg 2013;117:1347-51.
  • Yildiz TS, Solak M, Toker K. The incidence and risk factors of difficult mask ventilation. J Anesth 2005;19:7-11.
  • Law JA, Broemling N, Cooper RM, Drolet P, Duggan LV, Griesdale DE, et al. The difficult airway with recommendations for management--part 1--difficult tracheal intubation encountered in an unconscious/ induced patient. Can J Anaesth 2013;60:1089-118.
  • Saracoglu KT, Eti Z, Gogus FY. Airtraq optical
  • laryngoscope: advantages and disadvantages. Middle East J Anaesthesiol 2013;22:135-41.
  • Healy DW, Maties O, Hovord D, Kheterpal S. A systematic review of the role of videolaryngoscopy in successful orotracheal intubation. BMC Anesthesiol 2012;12:32.
  • Hagberg CA, Vogt-Harenkamp C, Kamal J. A
  • retrospective analysis of airway management in obese patients at a teaching institution. J Clin Anesth 2009;21:348-51.
  • Biro P. A proposal for a systematic classification of airway devices similar to the Linnaean taxonomy. Eur J Anaesthesiol 2012;29:499-503.
  • Batra YK, Mathew P. Airway management with endotracheal intubation (including awake intubation and blind intubation. Indian J Anaesth 2005;49:263-268.
  • 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;28:684-722.
  • Asai T. Monitoring during difficult airway management. J Anesth 2014;28:87-93.
  • Law JA, Broemling N, Cooper RM, Drolet
  • P, Duggan LV, Griesdale DE, et al. The difficult airway with recommendations for management--part 2--the anticipated difficult airway. Can J Anaesth 2013;60:1119-38.
  • Difficult Airway Society Extubation Guidelines Group, Popat M, Mitchell V, Dravid R, Patel A, Swampillai C, Higgs A. Difficult Airway Society Guidelines for the management of tracheal extubation. Anaesthesia 2012;67:318-40.
  • Cavallone LF, Vannucci A. Review article: Extubation of the difficult airway and extubation failure. Anesth Analg 2013;116:368-83.
  • Goranovic T, Maldini B, Markic A, Milic M, Skuric J. Extubation strategy following difficult intubation. Acta Clin Croat 2012;51:499-503.
  • Biro P, Priebe HJ. Staged extubation strategy: is an airway exchange catheter the answer? Anesth Analg 2007;105:1182-5.
  • Cook TM, Woodall N, Frerk C. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Br J Anaesth 2011;106:617-31.
  • Cherng CH, Wong CS, Hsu CH, Ho ST. Airway length in adults: estimation of the optimal endotracheal tube length for orotracheal intubation. J Clin Anesth 2002;14:271-4.
Toplam 38 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Derleme
Yazarlar

Kemal Tolga Saraçoğlu Bu kişi benim

Ömer Baygın Bu kişi benim

İbrahim Haluk Kafalı Bu kişi benim

Yayımlanma Tarihi 18 Ağustos 2015
Yayımlandığı Sayı Yıl 2015 Cilt: 1 Sayı: 1

Kaynak Göster

APA Saraçoğlu, K. T., Baygın, Ö., & Kafalı, İ. H. (2015). Kyphoscoliosis and difficult airway management. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, 1(1), 43-47. https://doi.org/10.5606/fng.btd.2015.009
AMA Saraçoğlu KT, Baygın Ö, Kafalı İH. Kyphoscoliosis and difficult airway management. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. Ağustos 2015;1(1):43-47. doi:10.5606/fng.btd.2015.009
Chicago Saraçoğlu, Kemal Tolga, Ömer Baygın, ve İbrahim Haluk Kafalı. “Kyphoscoliosis and Difficult Airway Management”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 1, sy. 1 (Ağustos 2015): 43-47. https://doi.org/10.5606/fng.btd.2015.009.
EndNote Saraçoğlu KT, Baygın Ö, Kafalı İH (01 Ağustos 2015) Kyphoscoliosis and difficult airway management. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 1 1 43–47.
IEEE K. T. Saraçoğlu, Ö. Baygın, ve İ. H. Kafalı, “Kyphoscoliosis and difficult airway management”, İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, c. 1, sy. 1, ss. 43–47, 2015, doi: 10.5606/fng.btd.2015.009.
ISNAD Saraçoğlu, Kemal Tolga vd. “Kyphoscoliosis and Difficult Airway Management”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi 1/1 (Ağustos 2015), 43-47. https://doi.org/10.5606/fng.btd.2015.009.
JAMA Saraçoğlu KT, Baygın Ö, Kafalı İH. Kyphoscoliosis and difficult airway management. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. 2015;1:43–47.
MLA Saraçoğlu, Kemal Tolga vd. “Kyphoscoliosis and Difficult Airway Management”. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi, c. 1, sy. 1, 2015, ss. 43-47, doi:10.5606/fng.btd.2015.009.
Vancouver Saraçoğlu KT, Baygın Ö, Kafalı İH. Kyphoscoliosis and difficult airway management. İstanbul Bilim Üniversitesi Florence Nightingale Tıp Dergisi. 2015;1(1):43-7.