Approach to a known difficult airway in a pediatric patient with Pfeiffer syndrome. Utility of high flow oxygen therapy.

Authors

  • Rubén Ferreras Vega Specialist. Pediatric Anesthesia and Resuscitation. Hospital October 12. Madrid, Spain.
  • Hugo Ahern Espinosa Specialist. Pediatric Anesthesia and Resuscitation. Hospital October 12. Madrid, Spain.
  • María Dolores Méndez Marín pecialist. Pediatric Anesthesia and Resuscitation. Hospital October 12. Madrid, Spain.
  • Ignacio Jiménez Huerta Specialist. Otolaryngology at the H.U 12 de Octubre, Madrid, Spain.

DOI:

https://doi.org/10.30445/rear.v15i8.1149

Keywords:

dificult airway, pediatric airway, pfeiffer syndrom, high flow teraphy, simulation airway, pediatric airway algorithm

Abstract

Clinical case describing the use of high-flow oxygen therapy for induction and intubation of a known difficult pediatric airway.  Pfeiffer's syndrome patient, requiring oral intubation and previous failure described in the use of supraglottic devices for airway management.

References

- UpToDate [Internet]. www.uptodate.com. [cited 2022 Aug 20]. Available from: https://www.uptodate.com/contents/emergency-airway-management-in-children-unique-pediatric-considerations?topicRef=6391&source=see_link).

- Brown CA, Walls RM. Identification of the difficult and failed airway. In: Manual of Emergency Airway Management, 5th ed, Brown CA, Sakles JC, Mick NW (Eds), Wolters Kluwer, Philadelphia 2018. p.11.].

- RESERVADOS IU -- TLD. Orphanet: Síndrome de Pfeiffer [Internet]. www.orpha.net. [cited 2022 Aug 20]. Available from: https://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=ES&Expert=710#:~:text=Es%20una%20acrocefalosindactilia%20asociada%20a

- Ranger A, Al-Hayek A, Matic D. Chiari Type 1 Malformation in an Infant With Type 2 Pfeiffer Syndrome. Journal of Craniofacial Surgery. 2010 Mar;21(2):427–31.

- Ovassapian A. Topical anesthesia of the airway. In: Ovassapian A, ed. Fiberoptic endoscopy and the difficult airway. 2nd ed. New York: Lippincott-Raven Press, Ltd., 1996:47-59.

- Andreu E, Schmucker E, Drudis R, Farré M, Franco T, Monclús E, Montferrer N, Munar F, Valero R; Grupo SEVA. Algoritmo de la vía aérea difícil en pediatría [Algorithm for pediatric difficult airway]. Rev Esp Anestesiol Reanim. 2011 May;58(5):304-11.

- Difficult mask ventilation (MV) -during routine induction of anaesthesia in a child aged 1 to 8 years [Internet]. Available from: https://das.uk.com/files/APA1-DiffMaskVent-FINAL.pdf

- Gleason JM, Christian BR, Barton ED. Nasal Cannula Apneic Oxygenation Prevents Desaturation During Endotracheal Intubation: An Integrative Literature Review. West J Emerg Med. 2018;19(2):403-411. doi:10.5811/westjem.2017.12.34699

- UpToDate [Internet]. www.uptodate.com. Available from: https://www.uptodate.com/contents/preoxygenation-and-apneic-oxygenation-for-airway-management-for-anesthesia

- Schroeder, D.C., Wetsch, W.A., Finke, SR. et al. Apneic laryngeal oxygenation during elective fiberoptic intubation – a technical simulation. BMC Anesthesiol 20, 300 (2020). https://doi.org/10.1186/s12871-020-01216-2

- Simmons ST, Schleich AR: Airway regional anesthesia for awake fiberoptic intubation. Reg Anesth Pain Med. 2002, 27:180-92. 10.1053/rapm.2002.30659

Published

2023-09-05

How to Cite

Ferreras Vega, R., Ahern Espinosa, H., Méndez Marín, M. D., & Jiménez Huerta, I. . (2023). Approach to a known difficult airway in a pediatric patient with Pfeiffer syndrome. Utility of high flow oxygen therapy. Revista Electrónica AnestesiaR, 15(8). https://doi.org/10.30445/rear.v15i8.1149