title: Pentax-airway scope for tracheal intubation breaks through the limitation of neck motion in an ankylosing spondylitis patient wearing halo vest--a case report.
abstract: The Airway Scope (AWS) provides better glottic view than the conventional direct laryngoscopy in tracheal intubation. With it, the endotracheal tube can be more easily inserted into the tracheal lumen easily. We hereby presented a 24-year-old ankylosing spondylitis (AS) patient wearing a halo vest who was successfully intubated for undergoing cervical spine surgery involving C1 and C2 under general anesthesia. Pre-operative airway assessment revealed that he was a case of difficult intubation. An AWS was used for oral tracheal intubation which was achieved smoothly in the first attempt. AWS can be an alternative device for airway management in a patient wearing halo vest.
authors.affiliation: Department of Anesthesiology, Buddhist Tzu-Chi General Hospital, Hualien, Taiwan.
authors.forename: Wei-Chun
authors.initials: WC
authors.lastname: Cheng
authors.lastname: Jimmy-Ong
authors.forename: Chia-Ling
authors.initials: CL
authors.lastname: Lee
authors.forename: Cing-Hong
authors.initials: CH
authors.lastname: Lan
authors.forename: Tsung-Ying
authors.initials: TY
authors.lastname: Chen
authors.forename: Hsien-Yong
authors.initials: HY
authors.lastname: Lai
mesh_terms: D002574:Cervical Vertebrae / Q000601:surgery; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D020704:Laryngoscopes; D008297:Male; D009989:Orthotic Devices; D013167:Spondylitis, Ankylosing / Q000503:physiopathology* / Q000601:surgery; D020535:Video-Assisted Surgery; D055815:Young Adult