[Nasotracheal fiberoptic intubation under remifentanil for sedation and analgesia in a boy with a difficult airway due to giant gingival hypertrophy].
A 9-year-old boy diagnosed with gingival hypertrophy and with a history of West syndrome and associated low platelet levels underwent gingival reduction surgery. Because difficult intubation was foreseen, the fiberoptic tube was inserted through the nose with the patient breathing spontaneously under remifentanil for sedation and analgesia. The procedure was carried out under balanced general anesthesia and with standard monitoring. At the end of gingivectomy, a tracheostomy was performed and the patient was transferred to the pediatric intensive care unit for postoperative observation.
Santiago Martín
J
J
Servicios de Anestesiología, Reanimación y Terapéutica del Dolor. Complejo Hospitalario Torrecárdenas. Almeria. jsantiago@nacom.es
Torres Fernández
V
V
Muñoz Blanco
F
F
Santiago Martín
F M
FM
Puente Rodero
A
A
Barranco Armenteros
F
F
D000402:Airway Obstruction / Q000209:etiology*; D000701:Analgesics, Opioid / Q000627:therapeutic use*; D000927:Anticonvulsants / Q000009:adverse effects; D001999:Bronchoscopy; D002648:Child; D005336:Fiber Optic Technology; D005886:Gingival Hypertrophy / Q000139:chemically induced / Q000150:complications* / Q000601:surgery; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use*; D007223:Infant; D008607:Intellectual Disability / Q000150:complications; D007442:Intubation, Intratracheal / Q000295:instrumentation; D008297:Male; D009666:Nose; D010672:Phenytoin / Q000009:adverse effects; D010880:Piperidines / Q000627:therapeutic use*; D000077208:Remifentanil; D013036:Spasms, Infantile / Q000150:complications* / Q000188:drug therapy; D014081:Tooth Extraction; D014139:Tracheostomy
D000701:Analgesics, Opioid; D000927:Anticonvulsants; D006993:Hypnotics and Sedatives; D010880:Piperidines; D010672:Phenytoin; D000077208:Remifentanil