Concurrent Use of Videolaryngoscope and Fiberoptic Bronchoscope in a Child with Neurofibromatosis to Facilitate Endotracheal Intubation

Abstract

IntroductionIn children who have craniofacial asymmetry secondary to neurofibromatosis type 1, the securing of the airway can be challenging. These patients have varying degrees of head and neck tumors that complicate endotracheal intubation. Anesthesiologists have many techniques and devices that assist us in securing adult airways and these devices are available in pediatric sizes which can also be used to safely secure the smaller airways. CaseThis 13-year-old male patient with Neurofibromatosis presented with a 2 cm mouth opening, Mallampati IV assessment, and thyromental distance of 2 cm for surgery. During the previous management of this child's airway it was found to be difficult using the fiberoptic bronchoscope or the Glidescope alone. DiscussionThis is a case report of improvement of intubating conditions using both devices concurrently.