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A fibreoptic intubation technique for children with mucopolysaccharidoses using the laryngeal mask airway
R W Walker1, D L Allen, M R Rothera
1Royal Manchester Children's Hospital, Pendlebury, UK.
Insights
Managing difficult airways in children with mucopolysaccharidoses (MPS) is challenging. A novel technique using a laryngeal mask airway, bronchoscope, and guide wire offers a successful solution for tracheal intubation in these patients.
Area of Science:
- Anesthesiology
- Pediatric Medicine
- Genetics
Background:
- Mucopolysaccharidoses (MPS) are rare genetic disorders characterized by the accumulation of glycosaminoglycans.
- Patients with MPS often exhibit craniofacial abnormalities leading to difficult airways and challenging tracheal intubation.
- Conventional intubation techniques are frequently unsuccessful in pediatric patients with MPS.
Abstract:
Children with mucopolysaccharidoses present the anaesthetist with both a difficult airway and often an impossible intubation using conventional techniques. A technique for airway management and tracheal intubation is described utilizing the Brain laryngeal mask airway, the fibreoptic bronchoscope, a guide wire and a ureteral dilator. Two case reports of children with mucopolysaccharidoses are presented who were managed successfully with this technique. The advantages of the technique are discussed.