Table 2: Anesthetic management and anesthesia-related complications.

 

n

%

Anesthetic procedures

23

100.0

ASA III classification

23

100.0

Intravenous premedication (midazolam)

16

69.5

Anesthetic induction

Intravenous*

21

91.3

Inhaled

2

8.7

Ventilation with mask

Easy

21

91.3

Difficult§

2

8.7

First attempted anesthetic method

Orotracheal tube

11

47.8

• Successful 9 (81.8%):

7 (63.6%) with one or two laryngoscopies;

2 (18.2%) with three or more

 

 

 

 

• Failure** 2 (18.2%)

 

 

Supraglottic device

11

47.8

Fiber-optic bronchoscope

1

4.3

Anesthetic agent

Sevoflurane

22

95.7

Desflurane

1

4.4

Anesthetic complications

No complications

11

47.8

Bronchospasm

4

17.4

Difficult Intubation

3

13.1

Failure of intubation

2

8.7

Laryngeal edema

2

8.7

Poor secretion control

1

4.3

* Propofol and fentanyl were used.

Oxygen and sevoflurane were used.

§ One with MPS I, could not be ventilated, and the other with MPS IV, presented an obstruction.

6 were Cormack-Lehane grade II and 3 grade III.

** Both were Cormack-Lehane grade IV where alternative methods were fiber optic bronchoscope in one and laryngeal mask (supraglottic device) in the other.