Awake fiberoptic intubation in a pediatric patient with Tessier’s cleft: Navigating the challenges
Awake fibreoptic intubation is the gold standard of airway management in anticipated difficult airways. Paediatric patients with orofacial defects pose unique challenges to the anaesthetist as management requires meticulous planning and preparation as well as titration of drugs to maintain spontaneo...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Saudi Journal of Anaesthesia |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/sja.sja_486_24 |
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| author | Jyoti Sharma Ruhi Sharma Mohd A. Mir Anju Grewal |
| author_facet | Jyoti Sharma Ruhi Sharma Mohd A. Mir Anju Grewal |
| author_sort | Jyoti Sharma |
| collection | DOAJ |
| description | Awake fibreoptic intubation is the gold standard of airway management in anticipated difficult airways. Paediatric patients with orofacial defects pose unique challenges to the anaesthetist as management requires meticulous planning and preparation as well as titration of drugs to maintain spontaneous ventilation without losing the airway. We report a case of an 11-year-old patient with Tessier cleft type 4,6 posted for orbital reconstruction and discuss the management with awake fibreoptic intubation. |
| format | Article |
| id | doaj-art-67358dadee884a008b2c2454a720074c |
| institution | Kabale University |
| issn | 1658-354X 0975-3125 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj-art-67358dadee884a008b2c2454a720074c2025-02-06T07:24:16ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X0975-31252025-01-0119113713910.4103/sja.sja_486_24Awake fiberoptic intubation in a pediatric patient with Tessier’s cleft: Navigating the challengesJyoti SharmaRuhi SharmaMohd A. MirAnju GrewalAwake fibreoptic intubation is the gold standard of airway management in anticipated difficult airways. Paediatric patients with orofacial defects pose unique challenges to the anaesthetist as management requires meticulous planning and preparation as well as titration of drugs to maintain spontaneous ventilation without losing the airway. We report a case of an 11-year-old patient with Tessier cleft type 4,6 posted for orbital reconstruction and discuss the management with awake fibreoptic intubation.https://journals.lww.com/10.4103/sja.sja_486_24awake fiberoptic intubationperiorbital reconstructiontessiers cleft |
| spellingShingle | Jyoti Sharma Ruhi Sharma Mohd A. Mir Anju Grewal Awake fiberoptic intubation in a pediatric patient with Tessier’s cleft: Navigating the challenges Saudi Journal of Anaesthesia awake fiberoptic intubation periorbital reconstruction tessiers cleft |
| title | Awake fiberoptic intubation in a pediatric patient with Tessier’s cleft: Navigating the challenges |
| title_full | Awake fiberoptic intubation in a pediatric patient with Tessier’s cleft: Navigating the challenges |
| title_fullStr | Awake fiberoptic intubation in a pediatric patient with Tessier’s cleft: Navigating the challenges |
| title_full_unstemmed | Awake fiberoptic intubation in a pediatric patient with Tessier’s cleft: Navigating the challenges |
| title_short | Awake fiberoptic intubation in a pediatric patient with Tessier’s cleft: Navigating the challenges |
| title_sort | awake fiberoptic intubation in a pediatric patient with tessier s cleft navigating the challenges |
| topic | awake fiberoptic intubation periorbital reconstruction tessiers cleft |
| url | https://journals.lww.com/10.4103/sja.sja_486_24 |
| work_keys_str_mv | AT jyotisharma awakefiberopticintubationinapediatricpatientwithtessierscleftnavigatingthechallenges AT ruhisharma awakefiberopticintubationinapediatricpatientwithtessierscleftnavigatingthechallenges AT mohdamir awakefiberopticintubationinapediatricpatientwithtessierscleftnavigatingthechallenges AT anjugrewal awakefiberopticintubationinapediatricpatientwithtessierscleftnavigatingthechallenges |