Video Laryngoscopes: A Boon for Parapharyngeal Tumors of Childhood
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Abstract
Parapharyngeal tumors often distort the airway anatomy leading to obstruction and hinderance for intubation thus posing a challenge for the anesthetist at securing airway with least damage to the nearby structures.
We present our experience through a series of 5 such cases in children managed successfully using video laryngoscope.
Working in places where availability of advanced airway equipment such as pediatric size fiberoptic is unavailable, a video laryngoscope can help to appropriately assess the airway and prevent disastrous outcomes.
[1] Varoquaux A, Fakhry N, Gabriel S, Garcia S, Ferretti A, Chondrogiannis S, et al. Retrostyloid parapharyngeal space tumors: a clinician and imaging perspective. Eur J Radiol. 2013; 82: 773-82.
[2] Apfelbaum JL, Hagberg CA, Caplan RA, Blitt CD, Connis RT, Nickinovich DG, et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology. 2013; 118(2):251-70.
[3] Wong DT, Mehta A, Tam AD, Yau B, Wong J. A survey of Canadian anesthesiologists’ preferences in difficult intubation and “cannot intubate, cannot ventilate” situations. Can J Anaesth. 2014; 61(8):717–726.
[4] Aziz MF, Dillman D, Fu R, Brambrink AM. Comparative effectiveness of the C-MAC video laryngoscope versus direct laryngoscopy in the setting of the predicted difficult airway. Anesthesiology. 2012; 116:629-36.
[5] Fiadjoe JE, Gurnaney H, Dalesio N, Zhao H, Zhang X, Stricker PA. A prospective randomized equivalence trial of the Glidescope Cobalt Videolaryngoscope to traditional direct laryngoscopy in neonates and infants. Anesthesiology. 2012; 116:622– 8.
[6] Hofstetter C, Scheller B, Flondor M, Gerig HJ, Heidegger T, Brambrink A, et al. Videolaryngoscopy versus direct laryngoscopy for elective endotracheal intubation. Anaesthesist. 2006; 55:535–540.
[7] Bissinger U, Guggenberger H, Lenz G. Retrograde-guided fiberoptic intubation in patients with laryngeal carcinoma. Anesth Analg. 1995; 81: 408-10.
[8] Gonzalez Enguita R, Obon Monforte H, Romagosa i Valls A, Gomez Agraz JL. [Heart arrest during fibrobronchoscopic intubation in a patient with parapharyngeal space neoplasia]. Rev Esp Anestesiol Reanim. 2003; 50: 409-13.
[2] Apfelbaum JL, Hagberg CA, Caplan RA, Blitt CD, Connis RT, Nickinovich DG, et al. Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway. Anesthesiology. 2013; 118(2):251-70.
[3] Wong DT, Mehta A, Tam AD, Yau B, Wong J. A survey of Canadian anesthesiologists’ preferences in difficult intubation and “cannot intubate, cannot ventilate” situations. Can J Anaesth. 2014; 61(8):717–726.
[4] Aziz MF, Dillman D, Fu R, Brambrink AM. Comparative effectiveness of the C-MAC video laryngoscope versus direct laryngoscopy in the setting of the predicted difficult airway. Anesthesiology. 2012; 116:629-36.
[5] Fiadjoe JE, Gurnaney H, Dalesio N, Zhao H, Zhang X, Stricker PA. A prospective randomized equivalence trial of the Glidescope Cobalt Videolaryngoscope to traditional direct laryngoscopy in neonates and infants. Anesthesiology. 2012; 116:622– 8.
[6] Hofstetter C, Scheller B, Flondor M, Gerig HJ, Heidegger T, Brambrink A, et al. Videolaryngoscopy versus direct laryngoscopy for elective endotracheal intubation. Anaesthesist. 2006; 55:535–540.
[7] Bissinger U, Guggenberger H, Lenz G. Retrograde-guided fiberoptic intubation in patients with laryngeal carcinoma. Anesth Analg. 1995; 81: 408-10.
[8] Gonzalez Enguita R, Obon Monforte H, Romagosa i Valls A, Gomez Agraz JL. [Heart arrest during fibrobronchoscopic intubation in a patient with parapharyngeal space neoplasia]. Rev Esp Anestesiol Reanim. 2003; 50: 409-13.
| Files | ||
| Issue | Vol 10 No 1 (2024): Winter |
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| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/aacc.v10i1.14781 | |
| Keywords | ||
| Parapharyngeal tumors Video laryngoscope Difficult airway Anesthetic management Pediatric airway management Airway devices | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Mahajan M, sharma M, Mahajan R. Video Laryngoscopes: A Boon for Parapharyngeal Tumors of Childhood. Arch Anesth & Crit Care. 2023;10(1):101-104.
