Airway management for rigid bronchoscopy via a freshly performed tracheostomy in a child with Goldenhar syndrome

Abstract A case of tooth aspiration in a 6 year old boy with Goldenhar syndrome and known difficult intubation is presented. A fresh tracheostomy was performed after a failed fiberoptic intubation and dental aspiration. The patient was transferred to our tertiary-care children's hospital for em...

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Bibliographic Details
Published in:Journal of clinical anesthesia 2012-05, Vol.24 (3), p.234-237
Main Authors: Ahmed, Zulfiqar, MD, Alalami, Achir, MD, Haupert, Michael, MD, Rajan, Sankar, MD, Durgham, Nasser, MD, Zestos, Maria M., MD
Format: Article
Language:English
Subjects:
Airway management
Airway Management - methods
Airway management, pediatric
Anesthesia & Perioperative Care
Aspiration: tooth, pediatric
Bronchoscopy - methods
Bronchoscopy, rigid
Catheters
Child
Children & youth
Emergent tracheostomy
Foreign Bodies
Goldenhar Syndrome - complications
Hospitals
Humans
Intensive care
Intubation
Male
Ostomy
Pain Medicine
Pediatrics
Tooth
Tracheostomy - methods
Ventilation
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Summary:Abstract A case of tooth aspiration in a 6 year old boy with Goldenhar syndrome and known difficult intubation is presented. A fresh tracheostomy was performed after a failed fiberoptic intubation and dental aspiration. The patient was transferred to our tertiary-care children's hospital for emergency bronchoscopy through the fresh tracheostomy for removal of an aspirated tooth. Rigid bronchoscopy performed via a fresh tracheostomy presents several challenges. The major complications associated with bronchoscopy performed via a fresh tracheostomy, as well as management of airway emergencies are discussed.
ISSN:0952-8180
1873-4529
DOI:10.1016/j.jclinane.2011.09.003