RT Book, Section
A1 Baker, Paul A.
A1 Sottas, Cédric Ernest
A2 Hung, Orlando R.
A2 Murphy, Michael F.
SR Print(0)
ID 1146619408
T1 Cannot Intubate and Cannot Oxygenate in an Infant After Induction of Anesthesia
T2 Hung's Difficult and Failed Airway Management, 3e
YR 2017
FD 2017
PB McGraw-Hill Education
PP New York, NY
SN 9781259640544
LK accessanesthesiology.mhmedical.com/content.aspx?aid=1146619408
RD 2024/04/18
AB A  21-month-old  boy  with  CHARGE  syndrome  was  brought  to  the  operating  room  for  a  gastroscopy,  echocardiogram,  auditory  brainstem  response  (ABR)  test,  ear  tubes  and  examination  of  his  airway  under  general  anesthesia.  His  past  medical  and  surgical  history  included  tracheobronchomalacia,  left  choanal  atresia,  a  tracheoesophageal  fistula  (TOF)  repair  at  age  2  days,  and  insertion  of  a  percutaneous  endoscopic  gastrostomy  (PEG).  From  his  past  anesthetic  record,  it  was  noted  that  he  was  difficult  to  perform  bag-mask-ventilation  (BMV)  and  that  the  use  of  an  extraglottic  airway  device  (EGD)  did  not  improve  ventilation  of  the  lungs.  It  was  also  found  that  direct  laryngoscopy  (DL)  and  tracheal  intubation  were  becoming  increasingly  difficult  with  successive  procedures.  The  child  was  assessed  preoperatively  and  it  was  reported  that  he  remained  clinically  unchanged  since  the  previous  anesthetic  1  year  ago.