Editorial Type:
Article Category: Research Article
| Online Publication Date: Jan 01, 2015
Alternative Methods for Nasotracheal Intubation and Extubation in a Patient With Apert Syndrome
Alternative Methods for Nasotracheal Intubation and Extubation in a Patient With Apert Syndrome
DDS, PhD and
DDS, PhD
Page Range: 122 – 124
Apert syndrome is a rare autosomal dominant disorder characterized by craniofacial abnormalities, craniosynostosis and syndactyly. Nasotracheal intubation for a patient with Apert syndrome can be a challenge because of abnormal facial anatomy. We experienced the anesthetic management of a patient with Apert syndrome who underwent partial resection of mandible and cleft palate repair with nasotracheal intubation. Nasotracheal intubation using a gastric tube and extubation using an airway exchange catheter proved useful in this case of airway compromise.Abstract
Keywords: Apert syndrome; General anesthesia; Nasotracheal intubation
Copyright: © American Dental Society of Anesthesiology
Figure 1.
The distal end of the gastric tube by a Magill forceps was placed through the tracheal tube to outside.
Figure 2.
Nasotracheal tube with the Cook airway exchange catheter.
Contributor Notes
Address correspondence to Dr Masanori Tsukamoto, Department of Dental Anesthesiology, Faculty of Dental Science, Kyushu University, Fukuoka, Japan; tsukamoto@dent.kyushu-u.ac.jp.
Received: Aug 29, 2013
Accepted: Jun 01, 2015