Journal
ANAESTHESIA AND INTENSIVE CARE
Volume 40, Issue 6, Pages 1056-1058Publisher
AUSTRALIAN SOC ANAESTHETISTS
DOI: 10.1177/0310057X1204000620
Keywords
failed intubation; fibrodysplasia ossificans progressiva; CICO; paediatric
Categories
Ask authors/readers for more resources
A 'can't intubate, can't oxygenate' scenario in a child is fortunately extremely rare. We report a case of this life-threatening event in a four-year-old boy suffering from a rare genetic disorder, fibrodysplasia ossificans progressiva. He presented for manipulation of his dislocated jaw and was identified preoperatively as having a difficult airway. Despite extensive preparation, a catastrophic loss of airway control occurred minutes after induction of general anaesthesia, necessitating a life saving emergency tracheostomy. This report highlights the small evidence base and lack of definitive algorithms relating to how best to rescue a paediatric 'can't intubate, can't oxygenate' situation. Paediatric anatomical factors dictate that immediate procession to a tracheal surgical airway may be the optimal management.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available