title: [Anesthetic management of a patient with metatropic dysplasia].
abstract: A 5-year-old girl with metatropic dysplasia was scheduled for an operation of posterior cervical fusion. This disease is a rare skeletal dysplasia characterized by long trunk and short limbs and severe scoliosis. As she had been suspected to have a difficult airway, we attempted fiberoptic intubation with a nasopharyngeal airway to prevent airway obstruction. The nasopharyngeal airway ensured a patent airway sufficient oxygenation, and anesthesia. Thus, it was possible to perform a fiberoptic intubation via the opposite nostril with no adverse event. The combination of a nasopharyngeal airway and fiberoptic guided tracheal intubation is a reliable and safe procedure for small children with metatropic dysplasia and difficult airway.
authors.affiliation: Department of Anesthesiology, Sapporo Medical University School of Medicine, Sapporo 060-8556.
authors.forename: Marie
authors.initials: M
authors.lastname: Suzuki
authors.forename: Yukitoshi
authors.initials: Y
authors.lastname: Niiyama
authors.forename: Yuko
authors.initials: Y
authors.lastname: Nawa
authors.forename: Michiaki
authors.initials: M
authors.lastname: Yamakage
mesh_terms: D000768:Anesthesia, General / Q000379:methods*; D002574:Cervical Vertebrae / Q000601:surgery; D002675:Child, Preschool; D004392:Dwarfism / Q000150:complications*; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D010009:Osteochondrodysplasias / Q000150:complications*; D013123:Spinal Fusion