An unanticipated difficult airway in Lesch-Nyhan syndrome

An unanticipated difficult airway in Lesch-Nyhan syndrome

An 11-year-old boy with Lesch-Nyhan syndrome presented to the emergency for fixation of a fractured femur. During induction of general anesthesia, unexpected difficult intubation was encountered with a 6.5-mm ID endotracheal tube and successively smaller tubes, also failing to pass 1 cm beyond the v...

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Bibliographic Details
Main Authors: Rashmi Salhotra, Chhavi Sharma, Asha Tyagi, Surendra Kumar, A K Sethi, Shuchi Bhatt
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Journal of Anaesthesiology Clinical Pharmacology
Subjects:
Difficult airway
Lesch-Nyhan syndrome
tracheal diverticulum
Online Access:http://www.joacp.org/article.asp?issn=0970-9185;year=2012;volume=28;issue=2;spage=239;epage=241;aulast=Salhotra
Description
Summary:An 11-year-old boy with Lesch-Nyhan syndrome presented to the emergency for fixation of a fractured femur. During induction of general anesthesia, unexpected difficult intubation was encountered with a 6.5-mm ID endotracheal tube and successively smaller tubes, also failing to pass 1 cm beyond the vocal cords. Intubation was finally achieved with a 4.5-mm ID tube. The surgery was completed uneventfully. A tracheal diverticulum was found in the computerized tomography (CT) scan performed postoperatively to account for this unexpected difficult intubation. This case highlights the anesthetic concerns in Lesch-Nyhan syndrome and also reports the rare occurrence of a tracheal diverticulum associated with it.
ISSN:0970-9185

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