Emergency bronchoscopy for foreign-body aspiration in a child with type I mucopolysaccharidosis: a challenging airway management experience
The mucopolysaccharidosis (MPS) is a rare lysosomal storage disease. Glycosaminoglycans (GAG) accumulate in musculoskeletal system, connective tissues. Enlarged tongue, short immobile neck, and limited mobility of the cervical spine and temporomandibular joints render the airway management potential...
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Veröffentlicht in: | Journal of anesthesia 2016-08, Vol.30 (4), p.696-698 |
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creator | Kendigelen, Pinar Tunali, Yusuf Tutuncu, Ayse Ashyralyyeva, Gulruh Emre, Senol Kaya, Guner |
description | The mucopolysaccharidosis (MPS) is a rare lysosomal storage disease. Glycosaminoglycans (GAG) accumulate in musculoskeletal system, connective tissues. Enlarged tongue, short immobile neck, and limited mobility of the cervical spine and temporomandibular joints render the airway management potentially risky. MPS children have high anesthetic risks, especially in airway management of emergency situations. The foreign-body aspiration requiring intervention with rigid bronchoscopy is an urgent and risky clinical situation. We present our experience with a challenging airway management with a three-year-old child with MPS who needed emergency bronchoscopy due to peanut aspiration. |
doi_str_mv | 10.1007/s00540-016-2180-7 |
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Glycosaminoglycans (GAG) accumulate in musculoskeletal system, connective tissues. Enlarged tongue, short immobile neck, and limited mobility of the cervical spine and temporomandibular joints render the airway management potentially risky. MPS children have high anesthetic risks, especially in airway management of emergency situations. The foreign-body aspiration requiring intervention with rigid bronchoscopy is an urgent and risky clinical situation. 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Glycosaminoglycans (GAG) accumulate in musculoskeletal system, connective tissues. Enlarged tongue, short immobile neck, and limited mobility of the cervical spine and temporomandibular joints render the airway management potentially risky. MPS children have high anesthetic risks, especially in airway management of emergency situations. The foreign-body aspiration requiring intervention with rigid bronchoscopy is an urgent and risky clinical situation. We present our experience with a challenging airway management with a three-year-old child with MPS who needed emergency bronchoscopy due to peanut aspiration.</description><subject>Airway Management - methods</subject><subject>Anesthesiology</subject><subject>Bronchi</subject><subject>Bronchoscopy</subject><subject>Bronchoscopy - methods</subject><subject>Care and treatment</subject><subject>Child, Preschool</subject><subject>Clinical Report</subject><subject>Critical Care Medicine</subject><subject>Diagnosis</subject><subject>Emergency Medicine</subject><subject>Foreign Bodies - complications</subject><subject>Humans</subject><subject>Intensive</subject><subject>Macroglossia - complications</subject><subject>Macroglossia - congenital</subject><subject>Macroglossia - etiology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mucopolysaccharidoses</subject><subject>Mucopolysaccharidosis I - complications</subject><subject>Pain Medicine</subject><issn>0913-8668</issn><issn>1438-8359</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9klFr1jAYhYso7tv0B3gjAW-86UzSNm29G2POwcAbvQ5vkzf9MtqkJi2zv8E_bWqnIHxICIHkOYfk5GTZG0YvGaX1h0hpVdKcMpFz1tC8fpYdWFk0eVNU7fPsQFtW5I0QzVl2HuMDpVQwVrzMznjNSiGq9pD9vBkx9OjUSrrgnTr6qPy0EuPDNtH2Lu-8XgnEyQaYrXfEOgJEHe2gyaOdj2ReJyR3ZFyS0g9rBKWOEKz20caPv1EYBnS9dT0BGx5hJSM46HFENxP8MWGw6Qb4KnthYIj4-mm9yL59uvl6_Tm__3J7d311n6uyLuZccITO1LXSVDEGgmtdMipqoxRio5jRRdmIogNVs7bRwIAXbWMQeFcZ3fHiInu_-07Bf18wznK0UeEwgEO_RJmiFGVZCS4S-m5HexhQWmf8HEBtuLwqa1ox1vDNMD9BpVQxwOAdGpu2_-EvT_BpaBytOilgu0AFH2NAI6dgRwirZFRuVZB7FWSqgtyqIOukefv0yqUbUf9V_Pn7BPAdiOnI9Rjkg1-CS8n_x_UXTRrAxw</recordid><startdate>20160801</startdate><enddate>20160801</enddate><creator>Kendigelen, Pinar</creator><creator>Tunali, Yusuf</creator><creator>Tutuncu, Ayse</creator><creator>Ashyralyyeva, Gulruh</creator><creator>Emre, Senol</creator><creator>Kaya, Guner</creator><general>Springer Japan</general><general>Springer</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160801</creationdate><title>Emergency bronchoscopy for foreign-body aspiration in a child with type I mucopolysaccharidosis: a challenging airway management experience</title><author>Kendigelen, Pinar ; 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subjects | Airway Management - methods Anesthesiology Bronchi Bronchoscopy Bronchoscopy - methods Care and treatment Child, Preschool Clinical Report Critical Care Medicine Diagnosis Emergency Medicine Foreign Bodies - complications Humans Intensive Macroglossia - complications Macroglossia - congenital Macroglossia - etiology Male Medicine Medicine & Public Health Mucopolysaccharidoses Mucopolysaccharidosis I - complications Pain Medicine |
title | Emergency bronchoscopy for foreign-body aspiration in a child with type I mucopolysaccharidosis: a challenging airway management experience |
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