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Paediatric anaesthesia · Apr 2016
Case ReportsFailed fiberoptic intubation in a child with epidermolysis bullosa, rescued with combined use of the Glidescope(®).
- Bethany C Fitzmaurice and Barry G Lambert.
- Department of Anaesthetics, Birmingham Children's Hospital, Birmingham, UK.
- Paediatr Anaesth. 2016 Apr 1; 26 (4): 455-6.
AbstractWe present the case of a 13-year-old male with epidermolysis bullosa having an elective syndactyly release. These patients present significant challenges to the anaesthetist; extreme care in patient handling is required. Recurrent and pronounced scarring of intra-oral, pharyngeal and laryngeal tissues is a feature, resulting in a difficult airway. Following a failed intubation using a fibreoptic bronchoscope, we describe a combined technique by adding in the Glidescope(®). This proved immediately successful. Its utilisation has been reported in adults. We wish to present our experience in the paediatric population, and this is the first report in a child with epidermiolysis bullosa.© 2016 John Wiley & Sons Ltd.
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