Lighted stylet-guided intubation via the intubating laryngeal airway in a patient with Hallermann-Streiff syndrome

Wong, David T.; Woo, Jacqueline; Arora, Gagan

doi:10.1007/s12630-008-9019-0

Cited by 12 publications

(8 citation statements)

References 14 publications

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“…Using a flexible lightwand, Dimitriou et al also demonstrated that lightwand-guided intubation through the FT-LMA has a first-time and overall success rate of 84% and 98%, respectively, in 44 patients with an unanticipated failed laryngoscopic intubation. 26 Recently, Wong et al 27 reported the successful use of the light-guided FT-LMA intubation technique in a patient with a difficult airway secondary to the Hallermann-Streiff syndrome. In an outof-hospital tracheal intubation by an emergency physician, Dimitriou et al have shown that a flexible lightwandguided tracheal intubation through the FT-LMA had a high success rate with no failure in 37 patients.…”

Section: Use Of the Airway Exchanger Cathetermentioning

confidence: 99%

The FastrachTM Intubating Laryngeal Mask Airway®: an overview and update

Gerstein

Braude

Hung

et al. 2010

Can J Anesth/J Can Anesth

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Purpose To provide an evidence-based overview and update on the use of the Fastrach TM Intubating Laryngeal Mask AirwayÒ (FT-LMA) when used within operative and non-operative settings. Principal findings The FT-LMA is available in three sizes to provide ventilation and the ability to pass an endotracheal tube (ETT) into the trachea blindly, semi-blindly, or with indirect visualization for patients over 30 kg. The Chandy maneuver is recommended routinely; the first maneuver optimizes ventilation, and the second maneuver increases success at endotracheal intubation (ETI). The manufacturer's reinforced tube or a pre-warmed or reversed standard ETT may be utilized. Insertion and ventilation are successful in almost all patients. Blind ETI is highly successful; adjuncts are generally not necessary. The FT-LMA has a proven role in the airway management of anticipated difficult operating room (OR) intubations, unanticipated OR intubations, cervical spine injuries, and limited airway access situations. Literature in the pre-hospital and emergency department settings is limited but favourable. The FT-LMA has compared favourably with fibreoptic intubation, the LMA-Classic TM , the laryngeal tube, and the CobraPLA TM . Initially, the more expensive LMA CTrach TM appeared to be more successful, but overall it is not. The FT-LMA airway seal pressures are excellent; serious complications are uncommon, and the FT-LMA figures prominently in most difficult airway guidelines. Conclusions The FT-LMA has proven to be a useful difficult airway device both within and outside of the operating room. Effective ventilation is established in nearly all cases, and blind ETI is possible in the vast majority of cases if the optimal techniques described are used. Serious complications are uncommon. Constatations principales Le FT-LMA est disponible en trois tailles pour permettre la ventilation et le passage d'une sonde endotrache´ale (SET) dans la trache´e de façon aveugle, semi-aveugle ou avec visualisation directe chez les patients pesant plus de 30 kg. La manoeuvre de Chandy est recommande´e de façon routinie`re; la premie`re manoeuvre optimise la ventilation, et la seconde augmente le succe`s lors d'une intubation endotrache´ale (IET). La sonde arme´e du fabricant ou une SET standard pre´chauffe´e ou inverse´e peut eˆtre utilise´e. L'insertion et la ventilation re´ussissent chez presque tous les patients. L'IET en aveugle a un taux de re´ussite e´leve´; en re`gle ge´ne´rale, les accessoires ne sont pas ne´cessaires. Le FT-LMA joue un rôle e´prouve´dans la prise en charge des voies ae´riennes lors d'intubations anticipe´es comme difficiles dans la salle d'ope´ration (SOP), d'intubations impre´vues en SOP, de le´sions de la colonne cervicale et dans les situations oul 'acce`s aux voies ae´riennes est limite´. La litte´rature portant sur son utilisation dans des contextes pre´-hospitaliers et dans le de´partement des urgences est restreinte mais favorable. Le FT-LMA a e´te´favorablement compare´al 'intubation par fibroscopie, au LMA...

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Section: Use Of the Airway Exchanger Cathetermentioning

confidence: 99%

The FastrachTM Intubating Laryngeal Mask Airway®: an overview and update

Gerstein

Braude

Hung

et al. 2010

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

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“…Early death due to respiratory complications is known to occur in these patients 10. Orotracheal intubation difficulty, upper airway obstruction, and respiratory depression during general anesthesia has been described in the literature in patients with HSS 11–13…”

Section: Discussionmentioning

confidence: 99%

Hallermann–Streiff syndrome with severe bilateral enophthalmos and radiological evidence of silent brain syndrome: a new congenital silent brain syndrome?

Nucci

Conciliis

Sacchi

et al. 2011

OPTH

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BackgroundWe present the first case of a congenital form of silent brain syndrome (SBS) in a young patient affected by Hallermann–Streiff syndrome (HSS) and the surgical management of the associated eyelid anomalies.MethodsHSS signs were evaluated according to the Francois criteria. Orbital computed tomography (CT) and genetic analysis were performed. An upper eyelid retractor-free recession was performed. Follow-up visits were performed at day 1, weeks 1 and 3, and months 3, 6, 9 (for both eyes), and 12 (for left eye) after surgery.ResultsThe patient exhibited six of the seven signs of HSS. Orbital CT showed bilateral enophthalmos and upward bowing of the orbital roof with air entrapment under the upper eyelid as previously described for SBS. Genetic analysis showed a 2q polymorphism. During follow-up, the cornea showed absence of epithelial damage and the upper eyelids were lowered symmetrically, with a regular contour.ConclusionOur HSS patient shares features with SBS. We postulate that SBS could include more than one pattern, ie, an acquired form following ventriculoperitoneal shunting and this newly reported congenital form in our HSS patient in whom typical syndromic skull anomalies led to this condition. The surgical treatment has been effective in restoring an appropriate lid level, with good globe apposition and a good cosmetic result.

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“…[4][5][6][7][8][9] An adult ETT can be placed directly into the trachea via these SGAs, either blindly or with bronchoscopic guidance. However, these SGAs designed for intubation may not be readily available in the operating room, 10 and many anesthesiologists are not familiar with using them as stand-alone airways or intubating devices.…”

Section: Supraglottic Airway Devices As Conduits For Tracheal Intubationmentioning

confidence: 99%

Use of intubation introducers through a supraglottic airway to facilitate tracheal intubation: a brief review

Wong

Yang

Mak

et al. 2012

Can J Anesth/J Can Anesth

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Lighted stylet-guided intubation via the intubating laryngeal airway in a patient with Hallermann-Streiff syndrome

Cited by 12 publications

References 14 publications

The FastrachTM Intubating Laryngeal Mask Airway®: an overview and update

The FastrachTM Intubating Laryngeal Mask Airway®: an overview and update

Hallermann–Streiff syndrome with severe bilateral enophthalmos and radiological evidence of silent brain syndrome: a new congenital silent brain syndrome?

Use of intubation introducers through a supraglottic airway to facilitate tracheal intubation: a brief review

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Lighted stylet-guided intubation via the intubating laryngeal airway in a patient with Hallermann-Streiff syndrome

Cited by 12 publications

References 14 publications

The FastrachTM Intubating Laryngeal Mask Airway®: an overview and update

The FastrachTM Intubating Laryngeal Mask Airway®: an overview and update

Hallermann&ndash;Streiff syndrome with severe bilateral enophthalmos and radiological evidence of silent brain syndrome: a new congenital silent brain syndrome?

Use of intubation introducers through a supraglottic airway to facilitate tracheal intubation: a brief review

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Hallermann–Streiff syndrome with severe bilateral enophthalmos and radiological evidence of silent brain syndrome: a new congenital silent brain syndrome?