Ensefalosel ve zor entübasyon (Olgu sunumu)

Baş-boyun anomalilerinde entübasyon zorluğu beklenen bir komplikasyondur. Entübasyon güçlüğü beklenen olgularda Mallampati (orofarangial görünüm), Wilson, Cormack ve Lehane testleri gibi risk belirleme kriterleri kullanılabilir. Bu yazımızda oksipital ensefalosel tanısı alan, başka ek patolojisi bulunmayan, miyadında doğmuş, 4000 gr ağırlığındaki kız çocuğun entübasyon güçlüğü riski ve uygulamamızı tartışmayı amaçladık.
Anahtar Kelimeler:

Entübasyon, Ensefalosel

Encephalocele and diffucult intubation (Case report)

Difficult intubation is an expected complication in the case of head-neck anomalies. Mallampati (oropharyngeal view) Wilson, Cormark and Lehane tests can be used to determine the risks of difficult intubation. We aim to discuss the risk of intubation difficulty and our practice on a full-term 4000 gram female baby with an occipital encephalocele without any other pathological diagnosis.

___

  • 1. Creighton RE, Relton JE, Meridy HW. Anaesthesia for occipital encephalocele Can Anaesth Soc J 1974; 21: 403-6.
  • 2. Barkovich AJ, Gressens P, Evrard P. Formation, maturation, and disorders of brain neocortex. AJNR 1992; 13: 423-46.
  • 3. Morgan E, Mikhail S, Murray M. Case Discussion: Evaluation and management of a difficult airway. Clinical Anesthesiology, Fourth edition, 2006; 5: 111-6.
  • 4. Paix AD, Williamson JA, Runciman WB. Crisis management during anaesthesia: difficult intubation. Qual Saf Health Care 2005; 14:e5.
  • 5. Isada T, Miwa T, Hiroki K, Fukuda S. The management of the difficult pediatric airway. Masui 2005;54: 490-5.
  • 6. Naguib M, Farag H, Ibrahim Ael-W. Anaesthetic considerations in Klippel-Feil syndrome. Can Anaesth Soc J 1986; 33: 66-70.
  • 7. Cattano D, Panicucci E, Paolicchi A, Forfori F, Giunta F, Hagberg C. Risk factors assessment of the diffucult airway : an Italian survey of 1956 patients. Anesth Analg 2004; 99: 1774-9.
  • 8. Siddiqi R, Kazi WA. Predicting difficult intubation- a comparison between Mallampati classification and Wilson risk- sum. J Coll Physicians Surg Pak 2005;15:253-6.
  • 9. Marquez X, Roxas RS. Induction of anesthesia in infant with frontonasal dysplasia and meningoencephalocele: A case Report. Anesth Analg 1977; 56: 736-8.
  • 10. Stopar T, Jankovic VN, Casati A. Four different airway-management strategies in patient with Launois-Bensaude syndrome or Madelung's disease undergoing surgical excision of neck lipomatosis with a complicated postoperative course. J Clin Anesth 2005; 17:300-3.
  • 11. Stauffer JL, Olson DE, Petty TL. Complications and consequences of endotracheal intubation and tracheotomy. A prospective study of 150 critically ill adult patients. Am J Med 1981;70:65-76.
  • 12. Miyazu M, Sobue K, Ito H ve ark. Anesthetic and airway management of general anesthesia in a patient with Meckel- Gruber syndrome. J Anesth 2005; 19: 309-10.
  • 13. Windsor J, Middleton P. A ‘difficult airway kit’ for the emergency department. Emerg Med Australas 2005; 17: 290-1.
  • 14. Frei FJ, Ummenhofer W. Difficult intubation in paediatrics. Paediatr Anaesth 1996; 6: 251-63.
  • 15. Li CW, Xue FS, Deng XM, Xu KL, Tong SY, Lia OX. Tracheal intubation under general anesthesia in patients with difficult laryngoscopy. Zhongguo Yi Xue Ke Xue Yuan Xue Bao 2004; 26:651-6.
Anestezi Dergisi-Cover
  • ISSN: 1300-0578
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1993
  • Yayıncı: Betül Kartal