![]() These DICOM Viewers can be freely downloaded. However, with the help of DICOM Viewer and the softcopy provided one can procure customised images. ![]() CT plates have too many images and create more confusion in anaesthesiologists' mind. ![]() Whenever any patient undergoes CT scan, the diagnostic laboratory provides a hard copy (CT plates) and a soft copy (digital versatile disc). He was extubated and shifted to the recovery room for observation. ![]() Patient maintained stable haemodynamics throughout surgery. Muscle relaxant injection atracurium 0.5 mg/kg was given after confirming ETT placement. Nasal oxygen was provided continuously during our attempt to secure the airway. We used a paediatric optical laryngoscope, Airtraq ® (Prodol Ltd., Vizcaya, Spain) and intubated the trachea with a 4.0 mm internal diameter endotracheal tube (ETT). Sevoflurane was administered using Jackson Rees' circuit and mask to achieve a minimum alveolar concentration of 1.5. We pre-medicated the child with injection midazolam 0.05 mg/kg intravenous to achieve easy parental separation a crying child would have resulted in increased airway secretions and worsened the already narrowed airway calibre. Otorhinolaryngologists were kept on standby for rigid bronchoscopy. Front of neck access in this patient would have been technically difficult due to the huge mass covering an entire anterior aspect of the neck. The Difficult airway cart was kept ready. Along with the printed CT images, we also received a soft copy of the CT scan given on a digital versatile disc that could be viewed on the digital imaging and communications in medicine (DICOM) Viewer. There was displacement of the floor of mouth and larynx to the right with resultant narrowing of the airway. CT images showed a 9.3 cm × 8.0 cm × 8.6 cm lesion suspected to be lipomatosis. On examination, it was found to be a solid mass. He did not have any symptoms suggestive of airway obstruction. Clinical picture of the patient, (a) computed tomography image of deviated larynx (at the level of epiglottis) from mid vertebral axis, (b) measurements of airway lumen (at the level of first tracheal ring) using OsiriX Lite™ (c)Ī small swelling was noticed by the parents at the neck of the child at 3 months of age which gradually grew to the present size.
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