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An unexpected difficult laryngoscopy
Author(s) -
De Beer D.A.H.,
Williams D.G.,
Mackersie A.
Publication year - 2002
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1046/j.1460-9592.2002.00857.x
Subject(s) - medicine , laryngoscopy , anesthesia , antecedent (behavioral psychology) , airway , surgery , intubation , psychology , developmental psychology
Summary A case of unexpected difficult laryngoscopy in a patient with gross hydrocephalus and generalized hypertonus is described. The 30‐month‐old girl had no antecedent history of such difficulty, having had two recent uneventful anaesthetics. We suggest that the reason for our inability to open the patient's mouth was a result of contracture of the temporalis muscle. The patient was managed using a laryngeal mask airway with controlled ventilation.