title: [Fiberoptic tracheal intubation through the supraglottic airway device air-Q in a patient with Shprintzen-Goldberg syndrome].
abstract: We report a case of successful fiberoptic tracheal intubation through the supraglottic airway device air-Q in a 14-year-old boy in whom intubation was difficult because of Shprintzen-Goldberg syndrome. Shprintzen-Goldberg syndrome is a rare congenital disorder of connective tissue. The patient showed dysmorphic facies and weakness of connective tissue, and was scheduled to undergo abdominal surgery. After induction of general anesthesia, both attempts of laryngoscope-guided and AirwayScope -guided tracheal intubation failed, but a size-2 air-Q could be easily inserted. Fiberoptic tracheal intubation through the air-Q was successfully performed without any difficulty and was safe for his weak airway connective tissue. Supraglottic airway air-Q is a useful conduit for fiberoptic tracheal intubation under general anesthesia, especially in the case of a patient with weak connective tissue in whom intubation is difficult.
authors.affiliation: Department of Anesthesia, Hokkaido Social Insurance Hospital, Sapporo 062-8618.
authors.forename: Tomoe
authors.initials: T
authors.lastname: Kanda
authors.forename: Hiroko
authors.initials: H
authors.lastname: Kasai
authors.forename: Youichi
authors.initials: Y
authors.lastname: Sanefuji
mesh_terms: D000293:Adolescent; D000768:Anesthesia, General; D054119:Arachnodactyly / Q000503:physiopathology*; D003398:Craniosynostoses / Q000503:physiopathology*; D005336:Fiber Optic Technology; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D008297:Male; D008382:Marfan Syndrome / Q000503:physiopathology*