Torsion of left main bronchus during general anesthesia for posterior instrumented spinal fusion

Arumainathan, Renuka; Morris, Stephen A.; George, Marina

doi:10.1002/ccr3.584

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…In a study on children and adults with severe neurological impairment, kyphoscoliosis was one of the major factors predicting increased end-tidal carbon dioxide, a measure of respiratory ventilator insufficiency [ 15 ]. Occasionally, severe kyphoscoliosis can lead to airway compression by the displaced spine [ 16 ].…”

Section: Risk Factors and Underlying Causesmentioning

confidence: 99%

Respiratory illness in children with disability: a serious problem?

Proesmans

2016

Breathe

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Key pointsChildren with neurocognitive impairment often present with chronic or recurrent respiratory problems.The respiratory problems have an important impact on quality of life and life expectancy.The underlying causes are multiple: risk of aspiration, insufficient cough, upper airway obstruction and progressive kyphoscoliosis.There is often a complex interplay between these known risk factors.The diagnostic and therapeutic approach should be multidisciplinary.Educational aimsTo provide data on the prevalence of respiratory problems in children with disability and to increase awareness on this topic.To provide insight into the complex interplay of the underlying causes and risk factors for chronic lung infection and respiratory failure.To give an overview of the diagnostic approaches relevant in this context.To highlight possible therapeutic approaches.To touch on ethical considerations in this group of vulnerable and complex patients.

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Section: Risk Factors and Underlying Causesmentioning

confidence: 99%

Respiratory illness in children with disability: a serious problem?

Proesmans

2016

Breathe

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Use of the Microcuff® During General Anesthesia for Patients With Scoliosis

Kishimoto

Hayashi

Nakanishi

et al. 2020

Anesthesia Progress

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Scoliosis may often be associated with a variety of cardiovascular and respiratory conditions or diseases, and depending on the severity of the spinal deformity, it may also complicate anesthetic management because of the difficulty of neck extension and tracheal deformity. Therefore, patients with scoliosis may require careful perioperative anesthetic considerations. A 14-year-old girl was scheduled to undergo extractions and restorative treatment for dental caries under general anesthesia. Her medical history was significant for intellectual disability and autism as well as previously undiagnosed scoliosis. After fixation of a 6.0 Portex® endotracheal tube (ETT), percutaneous oxygen saturation (SpO2) decreased to 93%, peak airway pressures increased, and unilateral lung ventilation was noted. Inadvertent mainstem bronchial intubation was immediately suspected, prompting removal of the Portex ETT and reintubation with a shorter 6.0 Microcuff® ETT. The dental treatment was completed successfully without further incident. Assessment of the ETTs used intraoperatively led to the determination that the distance from the glottis to the carina was considerably shorter than normal for this patient. It was speculated that the Microcuff ETT may be optimal for anesthetic management of scoliosis patients because of its shorter lengths compared with other style ETTs, which may reduce the risk of bronchial intubation in such cases.

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Torsion of left main bronchus during general anesthesia for posterior instrumented spinal fusion

Cited by 2 publications

References 5 publications

Respiratory illness in children with disability: a serious problem?

Respiratory illness in children with disability: a serious problem?

Use of the Microcuff® During General Anesthesia for Patients With Scoliosis

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