Use of the Augustine stylet anticipating difficult tracheal intubation in Treacher-Collins syndrome.
Treacher-Collins syndrome is a familial and congenital condition often associated with a difficult airway. Although the condition is rare, the anesthesia care provider may encounter it on occasion. This report describes a patient with Treacher-Collins syndrome scheduled to undergo facial reconstruction (fore-head plasty, brow lift, and rhinoplasty) as the sixth of multiple operations. A nasotracheal intubation using the stylet component of a recently introduced airway device, the Augustine Guide, was successfully performed. This is believed to be the first reported use of this method using the Augustine stylet.
Kovac
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Department of Anesthesia, University of Kansas Medical Center, Kansas City 66160-7415.
D000328:Adult; D000769:Anesthesia, Inhalation; D004867:Equipment Design; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation* / Q000379:methods*; D007530:Isoflurane; D007830:Larynx / Q000473:pathology; D008297:Male; D008342:Mandibulofacial Dysostosis / Q000473:pathology / Q000601:surgery*; D009960:Oropharynx / Q000473:pathology; D014132:Trachea / Q000473:pathology
D007530:Isoflurane