Airway management for rigid bronchoscopy via a freshly performed tracheostomy in a child with Goldenhar syndrome

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• 作者：Zulfiqar Ahmed ; MD^a ; ^{zahmedz@yahoo.com} (Staff Anesthesiologist) ; Achir Alalami ; MD^b (Fellow ; Pediatric Anesthesiology) ; Michael Haupert ; MD^c (Staff Otolaryngologist) ; Sankar Rajan ; MD^b (Staff Anesthesiologist) ; Nasser Durgham ; MD^b (Staff Anesthesiologist) ; Maria M. Zestos ; MD^b (Staff Anesthesiologist)
• 关键词：Airway management ; pediatric ; Aspiration ; tooth ; pediatric ; Bronchoscopy ; rigid ; Emergent tracheostomy
• 刊名：Journal of Clinical Anesthesia
• 出版年：2012
• 期刊代码：147_09528180
• 类别：med
• 出版时间：May, 2012
• 卷：24
• 期：3
• 页码：234-237
• 文件大小：238 K

摘要

A case of tooth aspiration in a 6 year old boy with Goldenhar syndrome and known difficult intubation is presented. A fresh tracheostomy was performed after a failed fiberoptic intubation and dental aspiration. The patient was transferred to our tertiary-care children's hospital for emergency bronchoscopy through the fresh tracheostomy for removal of an aspirated tooth. Rigid bronchoscopy performed via a fresh tracheostomy presents several challenges. The major complications associated with bronchoscopy performed via a fresh tracheostomy, as well as management of airway emergencies are discussed.