The Use of a Prototype MRI Safe Glidescope in a Pediatric Patient with CHARGE Syndrome: A Case Report  

作　　者：Karina Gritsenko Myrna Kcomt Tricia Vecchione Tracy Straker 

机构地区：[1]Department of Anesthesiology, Montefiore Medical Center, Bronx, USA.

出　　处：《Open Journal of Anesthesiology》2013年第3期170-172,共3页麻醉学期刊（英文）

摘　　要：Introduction: Charge syndrome is a very rare condition with an estimated prevalence of one in ten thousand. The care and treatment of these patients involve an interdisciplinary team. This case reports difficult airway management of a pediatric patient with CHARGE syndrome with an MRI safe glidescope. Case Presentation: A 13-year-old female with a past medical history significant for CHARGE syndrome, lumbar scoliosis, developmental delay, vitiligo, Wenckebach type AV block, intrinsic asthma and pulmonary hemosiderosis was scheduled to undergo an MRI of the spine as preoperative imaging for scoliosis corrective surgery under sedation. The patient desaturated during sedation for IV placement. After a failed attempt at sedation, the patient was then intubated safely with an MRI compatible glidescope. Conclusion: As cases increase in remote locations, it is necessary to have access to alternative devices for intubation of a difficult airway, particularly in MRI facilities where equipment must be compatible with MRI technology.Introduction: Charge syndrome is a very rare condition with an estimated prevalence of one in ten thousand. The care and treatment of these patients involve an interdisciplinary team. This case reports difficult airway management of a pediatric patient with CHARGE syndrome with an MRI safe glidescope. Case Presentation: A 13-year-old female with a past medical history significant for CHARGE syndrome, lumbar scoliosis, developmental delay, vitiligo, Wenckebach type AV block, intrinsic asthma and pulmonary hemosiderosis was scheduled to undergo an MRI of the spine as preoperative imaging for scoliosis corrective surgery under sedation. The patient desaturated during sedation for IV placement. After a failed attempt at sedation, the patient was then intubated safely with an MRI compatible glidescope. Conclusion: As cases increase in remote locations, it is necessary to have access to alternative devices for intubation of a difficult airway, particularly in MRI facilities where equipment must be compatible with MRI technology.

关 键 词：Charge SYNDROME GLIDESCOPE DIFFICULT AIRWAY Magnetic Resonance Imaging (MRI) 

分 类 号：R73[医药卫生—肿瘤]