2009
DOI: 10.1016/j.ijoa.2009.03.012
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Difficult intubation during rapid sequence induction in a parturient with Ehlers-Danlos syndrome, hypermobility type

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Cited by 14 publications
(19 citation statements)
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“…In 5-10% of individuals with this disorder, there is a mutation in one copy of the TNXB gene, which encodes for the tenascin-X protein in collagen; tenascin-X provides structure, strength, and flexibility to connective tissue [3].…”
Section: Discussionmentioning
confidence: 99%
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“…In 5-10% of individuals with this disorder, there is a mutation in one copy of the TNXB gene, which encodes for the tenascin-X protein in collagen; tenascin-X provides structure, strength, and flexibility to connective tissue [3].…”
Section: Discussionmentioning
confidence: 99%
“…A score of at least five out of nine determines joint hypermobility [3,8]. The skin is normal or only slightly increased extensibility.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…5,15 Furthermore, intubation may be difficult because of possible collapse of the upper airway as reported in a patient with the hypermobility type EDS. 16 In our patient, several known risk factors for a postintubation tracheal rupture were present: female gender, short stature with obesity, chronic use of corticosteroids, an endo- tracheal tube at 22-cm depth, and coughing during the emergence from general anesthesia. Interestingly, this case report suggests that tenascin-X deficiency may be a risk factor for tracheal rupture.…”
Section: Discussionmentioning
confidence: 64%
“…During general anesthesia, attention should be paid to careful patient positioning and padding of areas susceptible to the effects of pressure, in order to prevent tissue damage. Sood and colleagues [ 127 ] reported a case of diffi cult intubation during rapid sequence induction in a patient with the hypermobility subtype of EDS. They suggested that when diffi cult intubation is encountered using this technique, releasing the cricoid pressure may help to alleviate the obstruction that can result from a collapsed trachea.…”
Section: Anesthetic Management Of Edsmentioning
confidence: 99%