Can J Anesth/J Can Anesth (2017) 64:981–982 DOI 10.1007/s12630-017-0906-0 CO RRESP ON DENC E Airway management changes in patients with mucopolysaccharidoses: the role of video laryngoscopy . . . Brittney M. Clark, MD Juraj Sprung, MD, PhD Toby N. Weingarten, MD Mary E. Warner, MD Received: 15 May 2017 / Accepted: 26 May 2017 / Published online: 7 June 2017 Canadian Anesthesiologists’ Society 2017 To the Editor, 15 and 16, both with type IV MPS). For 15 procedures, Mucopolysaccharidoses (MPS) are lysosomal storage tracheal intubation was electively secured with either FB diseases resulting in pathological glycosaminoglycan intubation (patients 3, 10, 13, 16, 17) or VL (patients 7 accumulations. Craniofacial and skeletal abnormalities in , 9 , 11, 12, 13 , 18). VL was used for rescue these patients include macroglossia, tonsil and adenoid in two additional cases (patients 6 and 15, described below) hypertrophy, odontoid hypoplasia, and atlantoaxial (see ESM for speciﬁc patient characteristics). Airway 2–4 instability. Because these anomalies can complicate management was uneventful during 19 procedures (17 airway management, intubation with ﬂexible bronchoscopy direct laryngoscopies [DL] and establishment of two (FB) has traditionally been used in our practice in selected laryngeal mask supraglottic airways [LM]). MPS patients.
Canadian Journal of Anesthesia/Journal canadien d'anesthésie – Springer Journals
Published: Jun 7, 2017
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