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Journals / Journal of Surgery and Medicine / 2019 / Cilt: 3 - Sayı: 8

Use of video-laryngoscopy in pediatric patients with Ehlers-Danlos syndrome: Two case reports

Ehlers-Danlos sendromu tanılı iki pediatrik hastada videolaringoskop kullanımı: İki olgu sunumu

Mehmet Kenan EROL
Firdevs KAYA
Pages
626–628
Publication Date
2019-08-01
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We believe that using video-laryngoscopy for managing difficult pediatric airways may be beneficial in avoiding complications.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Difficult airway management is one of the most challenging situations for an anesthesiologist.
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Key Findings & Data:The first case was a 9-year-old, male, ASA II EDS patient scheduled for strabismus surgery, and the second case was a 12-year-old, male, ASA III EDS patient who was also diagnosed with a brain cyst and lymphoma, due for emergency surgery for acute abdomen.
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Conclusion & Impact:We believe that using video-laryngoscopy for managing difficult pediatric airways may be beneficial in avoiding complications.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Ehlers-Danlos · Anestezi · Zor hava yolu

Abstract

Difficult airway management is one of the most challenging situations for an anesthesiologist. If not handled properly, it can lead to severe complications, even death. Video-laryngoscopy (VL) is one of the many techniques developed for this purpose. Ehlers-Danlos Syndrome (EDS) is a rare disease requiring possible difficult airway management due to temporo-mandibular dysfunction or occipito-atlanto-axial instability. We herein present two pediatric EDS cases who required surgery. The first case was a 9-year-old, male, ASA II EDS patient scheduled for strabismus surgery, and the second case was a 12-year-old, male, ASA III EDS patient who was also diagnosed with a brain cyst and lymphoma, due for emergency surgery for acute abdomen. With their heads in a neutral position, both patients were intubated without tissue trauma at first attempt using video-laryngoscopy. No complications were encountered in both cases. We believe that using video-laryngoscopy for managing difficult pediatric airways may be beneficial in avoiding complications.

Özet

Zor hava yolu yönetimi, anestezist için en problemli durumlardan biridir ve komplikasyonlara, hatta ölüme neden olabilir. Videolaringoskop, bu sebeple geliştirilen tekniklerden birisidir. Ehlers-Danlos Sendromu, temporomandibular disfonksiyon veya oksipito-atlanto-aksiyel instabilite nedeniyle zor hava yolu yönetimine ihtiyaç duyulabilen nadir bir hastalıktır. Burada Ehlers-Danlos Sendromu (EDS) tanılı iki olgu sunulmuştur. İlk olgu, 12 yaşında, ASA II, EDS tanılı, strabismus nedeniyle cerrahi planlanan erkek hasta, ikinci olgu ise 9 yaşında, ASA III, EDS, beyin kisti ve lenfoma tanılı, akut batın sebebiyle acil cerrahiye ihtiyacı doğan erkek hastadır. Her iki hasta, başları nötral pozisyondayken, dokuyu travmatize etmeden, video-laringoskop ile ilk denemede entübe edilmiştir ve herhangi bir komplikasyonla karşılaşılmamıştır. Olası komplikasyonlardan kaçınmak için pediatrik zor hava yolu yönetiminde video-laringoskop kullanımının faydalı olacağını düşünüyoruz.

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Cite This Article

EROL, M. K., KAYA, F. (2019). Use of video-laryngoscopy in pediatric patients with Ehlers-Danlos syndrome: Two case reports. Journal of Surgery and Medicine, Cilt: 3 - Sayı: 8, 626–628. https://ajindex.com/articles/780527

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