| Crisis resource management of the airway in a patient with Klippel-Feil syndrome, congenital deafness, and aortic dissection. | |
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MedLine Citation:
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PMID: 19299791 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Klippel-Feil syndrome is a visually arresting deformity wherein severe restriction of cervical motion predicts a difficult airway. Even minor distraction of the neck risks cervical spine or neurologic injury, so regional techniques, awake fiberoptic intubation, or awake tracheostomy are recommended anesthetic approaches. We present a case of aortic dissection in a Klippel-Feil syndrome patient for whom congenital bilateral deafness, coupled with the urgency of the surgery, mitigated against the recommended first-choice techniques. Using anesthesia crisis resource management methods, a multi-member team rehearsed predefined roles and then managed the airway via inhaled induction of anesthesia, followed by flexible fiberoptic intubation. |
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Authors:
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Omar M Khawaja; J Taylor Reed; Shahzad Shaefi; Hovig V Chitilian; Warren S Sandberg |
Publication Detail:
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Type: Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Anesthesia and analgesia Volume: 108 ISSN: 1526-7598 ISO Abbreviation: Anesth. Analg. Publication Date: 2009 Apr |
Date Detail:
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Created Date: 2009-03-20 Completed Date: 2009-04-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 1310650 Medline TA: Anesth Analg Country: United States |
Other Details:
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Languages: eng Pagination: 1220-5 Citation Subset: AIM; IM |
Affiliation:
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Department of Anesthesia and Critical Care, Massachusetts General Hospital, and Department of Anaesthesia, Harvard Medical School, Boston, Massachusetts 02114, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Algorithms Anesthesia, General* / psychology Aneurysm, Dissecting / complications, surgery* Anxiety / etiology, prevention & control Aortic Aneurysm / complications, surgery* Blood Pressure Bronchoscopes Bronchoscopy* Cervical Vertebrae / abnormalities Deafness / complications*, congenital Humans Intubation, Intratracheal / instrumentation, methods*, psychology Klippel-Feil Syndrome / complications*, pathology Laryngoscopes Laryngoscopy* Male Monitoring, Intraoperative Optical Fibers Patient Care Planning Patient Care Team Treatment Outcome Vascular Surgical Procedures* / psychology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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