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©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 16, 2023; 11(11): 2482-2488
Published online Apr 16, 2023. doi: 10.12998/wjcc.v11.i11.2482
Published online Apr 16, 2023. doi: 10.12998/wjcc.v11.i11.2482
Anesthesia management in a pediatric patient with complicatedly difficult airway: A case report
Jia-Xiang Chen, Xiao-Li Shi, Chang-Sheng Liang, Xing-Gang Ma, Liang Xu, Department of Anesthesiology, Shenzhen Children's Hospital, Shenzhen 518038, Guangdong Province, China
Jia-Xiang Chen, Department of Anesthesiology, Shenzhen Pediatrics Institute of Shantou University Medical College, Shenzhen 518038, Guangdong Province, China
Author contributions: Chen JX collected the medical records of the patient; Shi XL and Liang CS took responsibility for investigation and data curation; Chen JX, Ma XG, and Xu L drafted and revised the manuscript.
Informed consent statement: Informed written consent was obtained from the patient’s guardian for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read CARE Checklist (2016), and the manuscript was prepared and revised according to CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Liang Xu, MD, Director, Doctor, Professor, Department of Anesthesiology, Shenzhen Children's Hospital, No. 7019 Yitian Road, Futian District, Shenzhen 518038, Guangdong Province, China. leonnel@msn.com
Received: December 17, 2022
Peer-review started: December 17, 2022
First decision: January 3, 2023
Revised: January 31, 2023
Accepted: March 21, 2023
Article in press: March 21, 2023
Published online: April 16, 2023
Peer-review started: December 17, 2022
First decision: January 3, 2023
Revised: January 31, 2023
Accepted: March 21, 2023
Article in press: March 21, 2023
Published online: April 16, 2023
Core Tip
Core Tip: A loss of control of the pediatric airway can result in catastrophic consequences if not addressed promptly. Spastic cerebral palsy is often associated with complicated airways in pediatric patients, which can be classified as difficult intubations of anticipated difficult airways. Sedation with spontaneous breathing and fiberoptic bronchoscope-guided endotracheal intubation is a valuable method for such patients. Herein, we describe the entire process of airway management and analyze the failure of the first intubation attempt.