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- Title
Failed intubation and failed oxygenation in a child.
- Authors
Santoro A; Cooper M; Cheng A; Santoro, A S; Cooper, M G; Cheng, A
- Abstract
A 'can't intubate, can't oxygenate' scenario in a child is fortunately extremely rare. We report a case of this life-threatening event in a four-year-old boy suffering from a rare genetic disorder, fibrodysplasia ossificans progressiva. He presented for manipulation of his dislocated jaw and was identified preoperatively as having a difficult airway. Despite extensive preparation, a catastrophic loss of airway control occurred minutes after induction of general anaesthesia, necessitating a life saving emergency tracheostomy. This report highlights the small evidence base and lack of definitive algorithms relating to how best to rescue a paediatric 'can't intubate, can't oxygenate' situation. Paediatric anatomical factors dictate that immediate procession to a tracheal surgical airway may be the optimal management.
- Publication
Anaesthesia & Intensive Care, 2012, Vol 40, Issue 6, p1056
- ISSN
0310-057X
- Publication type
journal article
- DOI
10.1177/0310057x1204000620