Management of a Difficult Airway Scenario in a Case of Hurler’s Syndrome with a D-Blade Video Laryngoscope

Hurler’s syndrome is a rare genetic disease characterized by progressive multiorgan accumulation of glycosaminoglycans. It is associated with progressive craniofacial, skeletal, and cardiac involvement, which increases the risk of anesthesia. Patients with Hurler’s syndrome could present as the wors...

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Autores principales:	Keta D. Thakkar, Ajay P. Hrishi, Manikandan Sethuraman, Smita Vimala
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2020
Materias:	hurler’s syndrome pediatric difficult airway d-blade c-mac Anesthesiology RD78.3-87.3
Acceso en línea:	https://doaj.org/article/b71780bc834a4cee88c674b3fa258c06
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spelling	oai:doaj.org-article:b71780bc834a4cee88c674b3fa258c062021-12-02T23:53:13ZManagement of a Difficult Airway Scenario in a Case of Hurler’s Syndrome with a D-Blade Video Laryngoscope2348-05482348-926X10.1055/s-0040-1714451https://doaj.org/article/b71780bc834a4cee88c674b3fa258c062020-08-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1714451https://doaj.org/toc/2348-0548https://doaj.org/toc/2348-926XHurler’s syndrome is a rare genetic disease characterized by progressive multiorgan accumulation of glycosaminoglycans. It is associated with progressive craniofacial, skeletal, and cardiac involvement, which increases the risk of anesthesia. Patients with Hurler’s syndrome could present as the worst airway management problem an anesthesiologist could deal with due to abnormal upper airway anatomy and limited neck manipulation, owing to the atlantoaxial instability. We report a case of difficult airway scenario of a child with Hurler’s syndrome, leading to an apparent cannot ventilate cannot intubate scenario, which was managed successfully with the help of a C-MAC video laryngoscope with unique D-blade. In Hurler’s syndrome, C-MAC with D-blade is an excellent tool in establishing an airway in a pediatric difficult airway scenario. Moreover, D-blade C-MAC could be considered as the primary tool for establishing an airway in pediatric patients with Hurler’s syndrome.Keta D. ThakkarAjay P. HrishiManikandan SethuramanSmita VimalaThieme Medical and Scientific Publishers Pvt. Ltd.articlehurler’s syndromepediatric difficult airwayd-blade c-macAnesthesiologyRD78.3-87.3ENJournal of Neuroanaesthesiology and Critical Care, Vol 08, Iss 03, Pp 214-216 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	hurler’s syndrome pediatric difficult airway d-blade c-mac Anesthesiology RD78.3-87.3
spellingShingle	hurler’s syndrome pediatric difficult airway d-blade c-mac Anesthesiology RD78.3-87.3 Keta D. Thakkar Ajay P. Hrishi Manikandan Sethuraman Smita Vimala Management of a Difficult Airway Scenario in a Case of Hurler’s Syndrome with a D-Blade Video Laryngoscope
description	Hurler’s syndrome is a rare genetic disease characterized by progressive multiorgan accumulation of glycosaminoglycans. It is associated with progressive craniofacial, skeletal, and cardiac involvement, which increases the risk of anesthesia. Patients with Hurler’s syndrome could present as the worst airway management problem an anesthesiologist could deal with due to abnormal upper airway anatomy and limited neck manipulation, owing to the atlantoaxial instability. We report a case of difficult airway scenario of a child with Hurler’s syndrome, leading to an apparent cannot ventilate cannot intubate scenario, which was managed successfully with the help of a C-MAC video laryngoscope with unique D-blade. In Hurler’s syndrome, C-MAC with D-blade is an excellent tool in establishing an airway in a pediatric difficult airway scenario. Moreover, D-blade C-MAC could be considered as the primary tool for establishing an airway in pediatric patients with Hurler’s syndrome.
format	article
author	Keta D. Thakkar Ajay P. Hrishi Manikandan Sethuraman Smita Vimala
author_facet	Keta D. Thakkar Ajay P. Hrishi Manikandan Sethuraman Smita Vimala
author_sort	Keta D. Thakkar
title	Management of a Difficult Airway Scenario in a Case of Hurler’s Syndrome with a D-Blade Video Laryngoscope
title_short	Management of a Difficult Airway Scenario in a Case of Hurler’s Syndrome with a D-Blade Video Laryngoscope
title_full	Management of a Difficult Airway Scenario in a Case of Hurler’s Syndrome with a D-Blade Video Laryngoscope
title_fullStr	Management of a Difficult Airway Scenario in a Case of Hurler’s Syndrome with a D-Blade Video Laryngoscope
title_full_unstemmed	Management of a Difficult Airway Scenario in a Case of Hurler’s Syndrome with a D-Blade Video Laryngoscope
title_sort	management of a difficult airway scenario in a case of hurler’s syndrome with a d-blade video laryngoscope
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2020
url	https://doaj.org/article/b71780bc834a4cee88c674b3fa258c06
work_keys_str_mv	AT ketadthakkar managementofadifficultairwayscenarioinacaseofhurlerssyndromewithadbladevideolaryngoscope AT ajayphrishi managementofadifficultairwayscenarioinacaseofhurlerssyndromewithadbladevideolaryngoscope AT manikandansethuraman managementofadifficultairwayscenarioinacaseofhurlerssyndromewithadbladevideolaryngoscope AT smitavimala managementofadifficultairwayscenarioinacaseofhurlerssyndromewithadbladevideolaryngoscope
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Management of a Difficult Airway Scenario in a Case of Hurler’s Syndrome with a D-Blade Video Laryngoscope

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