The Emerging Role of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) Technique and C-MAC Videolaryngoscope for Difficult Airway Management in a Patient with Klippel–Feil Syndrome: A Case Report
Klippel–Feil syndrome (KFS) is a rare autosomal dominant congenital anomaly characterized by failure in fusion of the cervical vertebrae. There have been no case reports describing the use of a combination of transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) and C-MAC videolaryn...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2024-09-01
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| Series: | Journal of Neuroanaesthesiology and Critical Care |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1787877 |
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| author | Anjana Kashyap Alia Vidyadhara Vidyadhara Srinivasa Madhava P. Kanhangad |
| author_facet | Anjana Kashyap Alia Vidyadhara Vidyadhara Srinivasa Madhava P. Kanhangad |
| author_sort | Anjana Kashyap |
| collection | DOAJ |
| description | Klippel–Feil syndrome (KFS) is a rare autosomal dominant congenital anomaly characterized by failure in fusion of the cervical vertebrae. There have been no case reports describing the use of a combination of transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) and C-MAC videolaryngoscope in the airway management of an adult patient with KFS. Our patient was a 50-year-old male diagnosed with KFS posted for revision robotic-assisted cervical C2-C4 laminectomy and fusion. He was successfully intubated with the help of THRIVE and C-MAC videolaryngoscope. During induction and intubation, saturation remained above 96%. At the end of surgery, patient was extubated after satisfying all difficult airway extubation criteria. THRIVE and C-MAC videolaryngoscope have been promoted for use in anticipated difficult airway scenarios. We report the first successful usage of THRIVE and C-MAC videolaryngoscope to secure the airway in a patient with KFS. |
| format | Article |
| id | doaj-art-c73b66009d79420d92f34f5467671014 |
| institution | Kabale University |
| issn | 2348-0548 2348-926X |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Neuroanaesthesiology and Critical Care |
| spelling | doaj-art-c73b66009d79420d92f34f54676710142025-01-10T23:57:28ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Neuroanaesthesiology and Critical Care2348-05482348-926X2024-09-01110319619910.1055/s-0044-1787877The Emerging Role of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) Technique and C-MAC Videolaryngoscope for Difficult Airway Management in a Patient with Klippel–Feil Syndrome: A Case ReportAnjana Kashyap0Alia Vidyadhara1Vidyadhara Srinivasa2Madhava P. Kanhangad3Department of Spine Anaesthesiology, Manipal Hospital, Bangalore, Karnataka, IndiaDepartment of Spine Anaesthesiology, Manipal Hospital, Bangalore, Karnataka, IndiaDepartment of Spine Surgery, Manipal Hospital, Bangalore, Karnataka, IndiaDepartment of Spine Surgery, Manipal Hospital, Bangalore, Karnataka, IndiaKlippel–Feil syndrome (KFS) is a rare autosomal dominant congenital anomaly characterized by failure in fusion of the cervical vertebrae. There have been no case reports describing the use of a combination of transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) and C-MAC videolaryngoscope in the airway management of an adult patient with KFS. Our patient was a 50-year-old male diagnosed with KFS posted for revision robotic-assisted cervical C2-C4 laminectomy and fusion. He was successfully intubated with the help of THRIVE and C-MAC videolaryngoscope. During induction and intubation, saturation remained above 96%. At the end of surgery, patient was extubated after satisfying all difficult airway extubation criteria. THRIVE and C-MAC videolaryngoscope have been promoted for use in anticipated difficult airway scenarios. We report the first successful usage of THRIVE and C-MAC videolaryngoscope to secure the airway in a patient with KFS.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1787877Klippel–Feil syndromeTHRIVEC-MAC videolaryngoscope |
| spellingShingle | Anjana Kashyap Alia Vidyadhara Vidyadhara Srinivasa Madhava P. Kanhangad The Emerging Role of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) Technique and C-MAC Videolaryngoscope for Difficult Airway Management in a Patient with Klippel–Feil Syndrome: A Case Report Journal of Neuroanaesthesiology and Critical Care Klippel–Feil syndrome THRIVE C-MAC videolaryngoscope |
| title | The Emerging Role of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) Technique and C-MAC Videolaryngoscope for Difficult Airway Management in a Patient with Klippel–Feil Syndrome: A Case Report |
| title_full | The Emerging Role of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) Technique and C-MAC Videolaryngoscope for Difficult Airway Management in a Patient with Klippel–Feil Syndrome: A Case Report |
| title_fullStr | The Emerging Role of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) Technique and C-MAC Videolaryngoscope for Difficult Airway Management in a Patient with Klippel–Feil Syndrome: A Case Report |
| title_full_unstemmed | The Emerging Role of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) Technique and C-MAC Videolaryngoscope for Difficult Airway Management in a Patient with Klippel–Feil Syndrome: A Case Report |
| title_short | The Emerging Role of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) Technique and C-MAC Videolaryngoscope for Difficult Airway Management in a Patient with Klippel–Feil Syndrome: A Case Report |
| title_sort | emerging role of transnasal humidified rapid insufflation ventilatory exchange thrive technique and c mac videolaryngoscope for difficult airway management in a patient with klippel feil syndrome a case report |
| topic | Klippel–Feil syndrome THRIVE C-MAC videolaryngoscope |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1787877 |
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