title: 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 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.
authors.affiliation: Anesthesia Associates of Ann Arbor Oakwood Hospital, Dearborn, MI 48124, USA. zahmedz@yahoo.com
authors.forename: Zulfiqar
authors.initials: Z
authors.lastname: Ahmed
authors.forename: Achir
authors.initials: A
authors.lastname: Alalami
authors.forename: Michael
authors.initials: M
authors.lastname: Haupert
authors.forename: Sankar
authors.initials: S
authors.lastname: Rajan
authors.forename: Nasser
authors.initials: N
authors.lastname: Durgham
authors.forename: Maria M
authors.initials: MM
authors.lastname: Zestos
mesh_terms: D058109:Airway Management / Q000379:methods*; D001999:Bronchoscopy / Q000379:methods*; D002648:Child; D005547:Foreign Bodies; D006053:Goldenhar Syndrome / Q000150:complications*; D006801:Humans; D008297:Male; D014070:Tooth; D014139:Tracheostomy / Q000379:methods*