Klippel–Feil syndrome: Choice of Anaesthetic Plans in differ
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Klippel–Feil syndrome, characterised by the triad of short neck, decreased cervical spine mobility and low posterior hairline, poses a challenge to the anaesthetist during airway management.[1],[2] We describe the airway management in a patient with Klippel–Feil syndrome which required the interchange of airway management plan in two different surgical contexts.

A 38-year-old female patient weighing 56 kg with Klippel–Feil syndrome [Figure 1] was scheduled for transoral odontoid process excision and occipitocervical fusion. Airway examination revealed limited cervical extension with modified Mallampati Class 2. The patient did not consent for awake fibre-optic bronchoscopic-guided intubation. Anaesthetic plan (Plan A) was orotracheal intubation following anaesthetic induction with or without the use of neuromuscular blocking drugs depending on the ease of mask ventilation, using Airtraq video laryngoscope with manual in-line stabilisation (MILS). Plan B was direct laryngoscopy with MILS using a stylet/bougie. Fibre-optic bronchoscope was kept ready in the operating room (Plan C).....

http://www.ijaweb.org/article.asp?issn=0019-5049;year=2017;volume=61;issue=2;spage=179;epage=180;aulast=Pavani
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