Related Experiment Video

Updated: Jan 18, 2026

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

22.0K

Airway Management in an Infant With Huge Hydrocephalus

Nitin Manohar1, Dheeraj Masapu2, B S Deepti3

  • 1is a consultant in neuroanesthesiology and neurocritical care at Yashoda Hospitals, Secunderabad, Telangana, India.

AANA Journal
|October 1, 2019
PubMed

Insights

Anesthetic management for huge hydrocephalus in infants requires careful airway assessment. Positioning the infant

Area of Science:

  • Pediatric Anesthesiology
  • Neurosurgery
  • Pediatric Neurosurgery

Background:

  • Huge hydrocephalus, defined as head circumference exceeding child length, presents unique anesthetic challenges.
  • Obstructive hydrocephalus can result from midline supratentorial lesions compressing the sylvian aqueduct.
  • Ventriculoperitoneal shunt placement is a common neurosurgical intervention for hydrocephalus.

Purpose of the Study:

  • To describe the perioperative anesthetic management for a case of huge hydrocephalus.
  • To focus on optimizing airway management during ventriculoperitoneal shunt placement in an infant.

Main Methods:

  • A 4-month-old infant with huge hydrocephalus underwent ventriculoperitoneal shunt placement.
  • Anesthetic management focused on airway assessment and positioning for laryngoscopy.
  • A specific positioning technique involving a pillow under the torso was employed.

Main Results:

  • The positioning maneuver improved the alignment of the laryngeal axis for direct laryngoscopy.
  • This technique facilitated better visualization during the procedure.
  • Successful perioperative anesthetic management was achieved.

Conclusions:

  • Careful airway positioning is crucial for infants with huge hydrocephalus undergoing neurosurgery.
  • A simple torso elevation can optimize laryngoscopic view in these challenging cases.
  • Effective anesthetic management ensures improved patient outcomes in pediatric neurosurgery.

Keywords:
Airway managementhydrocephaluspositioning

More Related Videos

Laryngeal Mask Airway LMA Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway SGA04:56

Laryngeal Mask Airway LMA Placement in a Neonatal Patient Simulator Using a Non-Inflatable Supraglottic Airway SGA

Published on: July 14, 2023

4.7K
Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus14:59

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

Published on: October 14, 2022

10.0K

Related Concept Videos

Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
555
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
480
Acute Respiratory Failure-V01:29

Acute Respiratory Failure-V

The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
467
Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
2.4K
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
3.1K
Suctioning the Oropharyngeal Airway01:25

Suctioning the Oropharyngeal Airway

In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
823