Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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Airway Management Using the I-gel Supraglottic Airway Device in Patients with Grisel's Syndrome -Case Report-

그리셀증후군 환자에서 I-gel 성문상기도유지기를 사용한 기도관리 -증례보고-

  • Lee, Cheolhyeong (Department of Anesthesiology and Pain Medicine, Wonkwang University Hospital) ;
  • Doo, A Ram (Department of Anesthesiology and Pain Medicine, Jeonbuk National University hospital) ;
  • Woo, Cheol Jong (Department of Anesthesiology and Pain Medicine, Jeonbuk National University hospital) ;
  • Son, Ji-Seon (Jeonbuk National University Medical School and Hospital, Jeonbuk National University) ;
  • Lee, Sang-Kyi (Jeonbuk National University Medical School and Hospital, Jeonbuk National University) ;
  • Kim, Yeon-dong (Wonkwang University School of Medicine, Wonkwang University)
  • 이철형 (원광대학병원 마취통증의학과) ;
  • 두아람 (전북대학병원 마취통증의학과) ;
  • 우철종 (전북대학병원 마취통증의학과) ;
  • 손지선 (전북대학교 의과대학) ;
  • 이상귀 (전북대학교 의과대학) ;
  • 김연동 (원광대학교 의과대학)
  • Received : 2021.08.24
  • Accepted : 2021.10.20
  • Published : 2021.10.28
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Abstract

Grisel's syndrome is a non-traumatic subluxation of the atlantoaxial joint with an inflammatory condition in the adjacent soft tissues. Due to the instability of the cervical spine, careful airway management is crucial to prevent potential cervical spinal cord injury following airway manipulation. We successfully secured the patient airway using a supraglottic airway device (I-gel) in a patient who had previously diagnosed with Grisel's syndrome. The operation was successfully completed, and the patient recovered without any neurological complications. I-gel can be a good option for airway management during general anesthesia in a patient diagnosed with Grisel's syndrome.

그리셀 증후군은 환축관절의 비외상성 탈구로 인하여 전신마취 시 경추손상이 발생할 가능성이 있어 신중한 마취관리를 요한다. 이에 우리는 과거에 그리셀 증후군을 받은 진단받은 환자의 전신마취 하 전립선 레이저절제술 시 I-gel을 이용한 기도관리를 성공적으로 진행하였고, 환자는 신경학적 합병증 없이 잘 회복된 사례를 보고하고자 한다. 그리셀 증후군 환자의 마취 관리 시 기도관리를 위하여 I-gel을 사용하는 것이 좋은 대안이 될 수 있을 것이다.

Keywords

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