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Updated: Apr 20, 2026

Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
Anesthetic management in a child with Rolland-Desbuquois type dyssegmental dysplasia
Ryu Okutani1, Yu Arima1, Yutaka Oda1
1Department of Anesthesiology, Osaka City General Hospital and Children's Hospital, Osaka 534-0021, Japan.
Abstract:
A case of a 17-month-old boy with dissegmental dysplasia of the Rolland-Desbuquois type, who was scheduled for bilateral inguinal herniotomy, is presented. Preoperative assessment showed limited mouth opening, head extension, and kyphosis. Intubation with a size 4 mm endotracheal tube (ETT) was achieved with fiberoptic bronchoscopy, after which surgery proceeded uneventfully and the ETT was carefully removed. Copious airway secretions required frequent suctioning. On the second postoperative day, respiratory status stabilized, and the patient was discharged home.
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