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

Abstract

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.

• Authors: Zulfiqar Ahmed, Achir Alalami, Michael Haupert, Sankar Rajan, Nasser Durgham, Maria M Zestos
• Journal: Journal of clinical anesthesia (J Clin Anesth) Vol. 24 Issue 3 Pg. 234-7 (May 2012) ISSN: 1873-4529 [Electronic] United States
• PMID: 22495086 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2012. Published by Elsevier Inc.

Topics

• Airway Management (methods)
• Bronchoscopy (methods)
• Child
• Foreign Bodies
• Goldenhar Syndrome (complications)
• Humans
• Male
• Tooth
• Tracheostomy (methods)