VivaSight Single-Lumen Tube Combined With Hyperangulated Videolaryngoscopy to Rescue Failed Tracheal Intubation in a Patient With Goldenhar Syndrome: A Case Report.

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A&A Practice Pub Date : 2022-09-09 eCollection Date: 2022-09-01 DOI:10.1213/XAA.0000000000001615

Emma Möhlenkamp, Eva K Kohse, Phillip B Sasu, Tanja Peters, Jörn Grensemann, Philipp Breitfeld, Martin Petzoldt

引用次数: 0

Abstract

This report describes a patient with Goldenhar syndrome undergoing anesthesia for whom Macintosh videolaryngoscopy failed, as the epiglottis was adhered to the posterior pharynx and could not be lifted with a tracheal introducer (Cormack-Lehane grade 3B). Hyperangulated videolaryngoscopy revealed only the arytenoids (Cormack-Lehane grade 2B), even after direct lifting of the epiglottis, and endotracheal tube advancement failed due to unclear tissue resistance. Hyperangulated videolaryngoscopy was combined with a tube-mounted camera (VivaSight single lumen tube). The combination of both camera perspectives was successfully used to allow placement of the endotracheal tube underneath the epiglottis and through the vocal cords.

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VivaSight单腔管联合高角度视频喉镜检查抢救Goldenhar综合征气管插管失败1例报告。

本报告描述了一例接受麻醉的Goldenhar综合征患者，Macintosh视频喉镜检查失败，因为会咽粘附在后咽上，无法用气管引入器提起(Cormack-Lehane分级3B)。即使在直接提起会厌后，高角度的视频喉镜检查也只显示了类甲状腺(Cormack-Lehane分级2B)，由于组织阻力不明，气管内管推进失败。高角度视频喉镜检查与安装在管内的摄像机(VivaSight单腔管)相结合。两种视角的结合被成功地用于将气管内管放置在会厌下方并穿过声带。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.