Endotracheal intubation using a three-dimensional printed airway model in a patient with Pierre Robin sequence and a history of tracheostomy -a case report-

Korean Journal of Anesthesiology

Hye-Jin Kim¹  Seyeon Park¹  Eun-Ji Choi¹  Jisoo Ahn¹  Hee Young Kim² 

[1] Department of Anesthesia and Pain Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea;;

关键词: airway management;    computer simulation;    endotracheal intubation;    pierre robin sequence;    pierre-robin syndrome;    3d printing;   

DOI  :  10.4097/kja.20430

来源: DOAJ

【 摘 要 】

Background Pierre Robin sequence (PRS) patients have an increased risk of difficult intubation due to anatomical airway abnormalities, and intubation simulation with a three-dimensional (3D) printed airway model before anesthesia may facilitate safe airway management. Case We describe the case of a 6.5-year-old boy with a history of PRS (a triad of micrognathia, glossoptosis, and airway obstruction), tracheostomy, and subglottic fibrosis who required general anesthesia. Preparation for this potentially difficult intubation included estimation of endotracheal tube size using a 3D printed airway model derived from 3D computed tomography of the airway, which enabled successful endotracheal intubation via video laryngoscopy. Conclusions If general anesthesia is necessary in patients with dysmorphic features such as PRS and there is a history of tracheal pathology, the possibility of difficult intubation should always be considered and simulation of endotracheal intubation using a 3D printed model of the airway can be helpful clinically in such situations.

【 授权许可】

Unknown