title: Failed fiberoptic intubation in a child with epidermolysis bullosa, rescued with combined use of the Glidescope®.
abstract: We present the case of a 13-year-old male with epidermolysis bullosa having an elective syndactyly release. These patients present significant challenges to the anaesthetist; extreme care in patient handling is required. Recurrent and pronounced scarring of intra-oral, pharyngeal and laryngeal tissues is a feature, resulting in a difficult airway. Following a failed intubation using a fibreoptic bronchoscope, we describe a combined technique by adding in the Glidescope(®). This proved immediately successful. Its utilisation has been reported in adults. We wish to present our experience in the paediatric population, and this is the first report in a child with epidermiolysis bullosa.
authors: Department of Anaesthetics, Birmingham Children's Hospital, Birmingham, UK.
authors: Bethany C
authors: BC
authors: Fitzmaurice
authors: Department of Anaesthetics, Birmingham Children's Hospital, Birmingham, UK.
authors: Barry G
authors: BG
authors: Lambert
mesh_terms: D000293:Adolescent; D000769:Anesthesia, Inhalation; D004820:Epidermolysis Bullosa / Q000150:complications*; D005336:Fiber Optic Technology; D006228:Hand Deformities, Congenital / Q000601:surgery; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D020704:Laryngoscopes; D008297:Male; D017211:Treatment Failure
keywords: Child; airway devices; airway techniques; difficult airway