[Intubation using the Pentax-AWS Airwayscope with an infant-size Intlock in a patient with increased intracranial pressure due to acute hydrocephalus].
We report our experience with the Pentax-AWS Airwayscope with an infant-size Intlock (AWS-I) in a patient with increased intracranial pressure due to acute hydrocephalus. A 12-month-old female infant with increased intracranial pressure due to acute hydrocephalus was scheduled to undergo emergent ventriculoperitoneal shunting under general anesthesia. She had a clonic convulsion and was sedated with midazolam. As her head was enlarged, head-tilting was difficult. Tracheal intubation while preventing an intracranial pressure increase was needed. After induction of general anesthesia with thiamylal and fentanyl the AWS-I was inserted to obtain a laryngoscopic view without excessive force. Under AWS observation, tracheal intubation was uneventful, and no vital sign change was observed.
Sayuri
S
Matsunami
Nobuyasu
N
Komasawa
Kenta
K
Nakao
Shoko
S
Nakano
Shinichi
S
Tatsumi
Toshiaki
T
Minami
D000208:Acute Disease; D000768:Anesthesia, General; D001932:Brain Neoplasms / Q000150:complications; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology* / Q000601:surgery*; D007223:Infant; D019586:Intracranial Hypertension / Q000209:etiology* / Q000601:surgery*; D007442:Intubation, Intratracheal / Q000295:instrumentation*; D020704:Laryngoscopes; D019990:Perioperative Care; D017287:Ventriculoperitoneal Shunt