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CASE REPORT
Year : 2019  |  Volume : 2  |  Issue : 2  |  Page : 89-92

Airway management following assessment by virtual bronchoscopy subsequent to failed intubation in a child with tetralogy of Fallot


1 Department of Anaesthesiology, Pt BDS PGIMS, Rohtak, Haryana, India
2 Department of Cardiac Surgery, Pt BDS PGIMS, Rohtak, Haryana, India

Correspondence Address:
Dr. Tarun Yadav
Department of Anaesthesiology, Pt BDS PGIMS, Rohtak, House No 187, Sector 2, Rohtak - 124 001, Haryana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ARWY.ARWY_17_19

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Children with congenital anomaly have a higher incidence of a difficult airway. Routine airway assessments have their limitations due to low sensitivity for predicting airway difficulties. We report the successful airway management of a 10-year-old girl with tetralogy of Fallot who had a history of failed intubation. Virtual bronchoscopy revealed subglottic narrowing. Careful planning on the basis of virtual bronchoscopy findings leads to a successful perioperative course. We recommend that virtual bronchoscopy be used as an airway assessment tool in anticipated difficult airway.


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