[Anesthetic management in a patient with Goldenhar's syndrome using a perilaryngeal airway and a videolaryngoscope].
A 5-year-old girl with Goldenhar's syndrome was scheduled for reconstruction of her left thumb. Because her preanesthetic X-p had revealed airway abnormality, difficult intubation was anticipated. After induction of anesthesia with thiamylal, the lungs were ventilated easily via a facemask. A perilaryngeal airway (PLA) was inserted after obtaining adequate depth of anesthesia with sevoflurane. Anesthesia was maintained with sevoflurane (2%) plus nitrous oxide (66%) under spontaneous ventilation. The operation was finished uneventfully. However, a re-operation was scheduled for postoperative hemorrhage on that day. In consideration of potential regurgitation of gastric content, endotracheal intubation was scheduled. Her vocal cord was confirmed with a videolaryngoscope, and she was intubated successfully. In conclusion, a PLA and a videolaryngoscope are useful for airway management of patients with Goldenhar's syndrome for whom difficulty in intubation is anticipated.
Sugino
Shigekazu
S
Department of Anesthesiology, Sapporo Medical University School of Medicine.
Kanaya
Noriaki
N
Omote
Keiichi
K
Namiki
Akiyoshi
A
D000768:Anesthesia, General / Q000379:methods; D002675:Child, Preschool; D005260:Female; D006053:Goldenhar Syndrome / Q000601:surgery*; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D007828:Laryngoscopy / Q000379:methods*; D008738:Methyl Ethers / Q000008:administration & dosage; D009609:Nitrous Oxide / Q000008:administration & dosage; D000077149:Sevoflurane; D013933:Thumb / Q000601:surgery; D020535:Video-Assisted Surgery
D008738:Methyl Ethers; D000077149:Sevoflurane; D009609:Nitrous Oxide