• Acta clinica Croatica · Sep 2012

    Case Reports

    Difficult airway management in a polytraumatized patient with osteogenesis imperfecta and multiple congenital spinal and thoracic deformities and severe kyphoscoliosis: case report.

    • Aleksandra Gvozdenović, Zdenko Novotny, Branka Maldini, and Zeljka Gavranović.
    • Department of Anesthesiology, Resuscitation and Intensive Medicine, Sestre milosrdnice University Hospital Center, Zagreb, Croatia. aleksandra.gvozdenovic@kbcsm.hr
    • Acta Clin Croat. 2012 Sep 1;51(3):489-91.

    AbstractAirway management in a polytraumatized patient with severe spinal and thoracic deformities demands detailed investigation of anatomical characteristics of the head, neck and airways, as well as thoracic configuration, before attempting endotracheal intubation. This enables the physician to predict a difficult airway and prepare for difficult airway management. We present a case of a 50-year-old polytraumatized patient with multiple congenital bone deformities associated with the syndrome of osteogenesis imperfecta and severe kyphoscoliosis, unable of lying on his back due to gibbus, who was successfully intubated in first attempt using video laryngoscope and only mild sedation. In patients with such severe multiple deformities, the use of video laryngoscope or Bonfils rigid endoscope should be mandatory in order to ensure success of intubation in first attempt and to avoid the possible aspiration of gastric contents.

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