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CC BY 4.0 · J Neuroanaesth Crit Care
DOI: 10.1055/s-0044-1787877
Case Report

The Emerging Role of Transnasal Humidified Rapid-Insufflation Ventilatory Exchange (THRIVE) Technique and C-MAC Videolaryngoscope for Difficult Airway Management in a Patient with Klippel–Feil Syndrome: A Case Report

Anjana Kashyap
1   Department of Spine Anaesthesiology, Manipal Hospital, Bangalore, Karnataka, India
,
Alia Vidyadhara
1   Department of Spine Anaesthesiology, Manipal Hospital, Bangalore, Karnataka, India
,
Vidyadhara Srinivasa
2   Department of Spine Surgery, Manipal Hospital, Bangalore, Karnataka, India
,
Madhava P. Kanhangad
2   Department of Spine Surgery, Manipal Hospital, Bangalore, Karnataka, India
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Abstract

Klippel–Feil syndrome (KFS) is a rare autosomal dominant congenital anomaly characterized by failure in fusion of the cervical vertebrae. There have been no case reports describing the use of a combination of transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) and C-MAC videolaryngoscope in the airway management of an adult patient with KFS. Our patient was a 50-year-old male diagnosed with KFS posted for revision robotic-assisted cervical C2-C4 laminectomy and fusion. He was successfully intubated with the help of THRIVE and C-MAC videolaryngoscope. During induction and intubation, saturation remained above 96%. At the end of surgery, patient was extubated after satisfying all difficult airway extubation criteria. THRIVE and C-MAC videolaryngoscope have been promoted for use in anticipated difficult airway scenarios. We report the first successful usage of THRIVE and C-MAC videolaryngoscope to secure the airway in a patient with KFS.

Keywords

Klippel–Feil syndrome - THRIVE - C-MAC videolaryngoscope


Publication History

Article published online:
08 August 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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