We believe that the Airtraq® video laryngoscope with inhalational induction with sevoflurane is a valid and effective alternative in the management of expected difficult airway.
Management of difficult airway with inhalation induction in a patient with Lennox-Gastaut syndrome and neck injury
 
  Keywords
 
 
  
   Difficult airway
  
 
 
  
   Inhalation induction
  
 
 
  
   Neck immobilization
  
 
 
  
   Video laryngoscope
  
 
 
  
   Airtraq
   
    ®
   
  
 
 
  
   Lennox-Gastaut syndrome
  
 
Abstract
 Lennox-Gastaut syndrome is a childhood epileptic encephalopathy, and is characterized by frequent and difficult to treat seizures associated with <dis>mental retardation</dis>.
The case is presented of a 21 year-old male with Lennox- Gastaut syndrome, with bilateral cervical facet joint dislocation fracture at C6-C7 and spinal canal compression as a result of a fall during a seizure.
In this case the management of the difficult airway expected in an awake and uncooperative patient, with cervical spinal cord injury is described.
An airway management strategy was proposed, that allowed a rapid and safe airway control with the best possible tolerance and maintaining the neck immobilised, so as not to increase neurological injury.
Within this strategy, plan A was defined as inhalation induction with sevoflurane to maintain spontaneous breathing and tracheal intubation with Airtraq®.
We believe that the Airtraq® video laryngoscope with inhalational induction with sevoflurane is a valid and effective alternative in the management of expected difficult airway.
Abstract
 Lennox-Gastaut syndrome is a childhood epileptic encephalopathy, and is characterized by frequent and difficult to treat seizures associated with mental retardation.
The case is presented of a 21 year-old male with Lennox- Gastaut syndrome, with bilateral cervical facet joint dislocation fracture at C6-C7 and spinal canal compression as a result of a fall during a seizure.
In this case the management of the difficult airway expected in an awake and uncooperative patient, with cervical spinal cord injury is described.
An airway management strategy was proposed, that allowed a rapid and safe airway control with the best possible tolerance and maintaining the neck immobilised, so as not to increase neurological injury.
Within this strategy, plan A was defined as inhalation induction with sevoflurane to maintain spontaneous breathing and tracheal intubation with Airtraq®.
We believe that the Airtraq® video laryngoscope with inhalational induction with sevoflurane is a valid and effective alternative in the management of expected difficult airway.
We believe that the Airtraq® video laryngoscope with inhalational induction with sevoflurane is a valid and effective alternative in the management of expected difficult airway.