Airway management in neonates and infants with congenital airway lesions

Kapoor, Mukul Chandra; Rangachari, Vijay

doi:10.4103/0970-9185.98318

Cited by 3 publications

(4 citation statements)

References 12 publications

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“…Intubation using neonatal flexible fibre-optic bronchoscopy is technically challenging. Due to the presence of large arytenoids (greater than one-half of entire length of laryngeal inlet) and angled vocal cords,[ 2 ] LMA can be used as a rescue device and Brimacombe[ 3 ] has reported successful insertion of size 1 LMA in seven neonates with weight <2.5 kg. The lower limit suggested by them is 1 kg.…”

Section: Discussionmentioning

confidence: 99%

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Post-intubation tension pneumothorax and pneumoperitoneum in a low birth weight neonate with giant epulis

et al. 2017

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Section: Discussionmentioning

confidence: 99%

“…It may be sessile or pedunculated and vary in size from several millimetres to a few centimetres. [ 1 2 ] Surgical excision is the treatment of choice. The most important aspect of pre-anaesthetic evaluation is assessment for difficult airway.…”

Section: Introductionmentioning

confidence: 99%

Post-intubation tension pneumothorax and pneumoperitoneum in a low birth weight neonate with giant epulis

et al. 2017

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“…The paediatric age group (limited functional reserve/higher oxygen requirement) further increased the risk of hypoxia. [5] Airway management in such cases require special considerations (careful airway assessment, availability of difficult airway cart, presence of experienced anaesthesiologists and proper anaesthetic plan), as a compromised airway can have catastrophic consequences. In this case, we could successfully secure the airway by utilizing inhalational induction with halothane under spontaneous ventilation and use of straight blade laryngoscope without any complications.…”

Section: Discussionmentioning

confidence: 99%

Anaesthetic challenges in a patient presenting with huge neck teratoma

Jain¹,

Varshney²

2013

Saudi J Anaesth

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Paediatric airway management is a great challenge even for an experienced anaesthesiologist. Difficult airway in huge cervical teratoma further exaggerates the complexity. This case report is intended at describing the intubation difficulties that were confronted during the airway management of a three year old girl presenting with huge neck teratoma and respiratory distress. This patient was successfully intubated with uncuffed endotracheal tubes in second attempt under inhalational anaesthesia with halothane and spontaneous ventilation. This case exemplifies the importance of careful preoperative workup of an anticipated difficult airway in paediatric patients with neck swelling to minimize any perioperative complications.

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“…Airway management in neonates is often difficult because of the anatomical specificities of the larynx and because of the risk of rapid hypoxia due to a lower functional residual capacity reserve. 1 It presents a challenge even for an experienced anesthesiologist. Several congenital oral tumors may interfere with the development of the palate.…”

Section: Introductionmentioning

confidence: 99%

Airway management in a rare case of congenital palate teratoma with a cleft palate: A case report

Regaieg,

Jarraya,

Ammar

et al. 2023

SAGE Open Medical Case Reports

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Airway management in neonates is difficult because of the risk of rapid hypoxia. It presents a challenge even for an experienced anesthesiologist. Oral tumors in neonates can obstruct the airway or feeding problems in the newborn. Surgical excision is the treatment of choice but these tumors can seriously worsen the conditions of intubation. To surmount these difficulties, a particular multidisciplinary approach and special precautions are needed. We describe the airway management and precautions taken in the anesthesia for surgical removal of a case of large congenital palate teratoma associated with a wide cleft palate in a 25-day-old girl. Impossible intubation was predicted on magnetic resonance imaging. The difficult airway management cart as well as an otorhinolaryngologist skilled in performing emergency tracheostomies in neonates were available. The patient was intubated by conventional laryngoscopy under sevoflurane inhalation anesthesia. The tumor was successfully resected. This case poses a challenge for managing the airway because of the possibility of obstruction of the airway and the difficulty of the airway that radiological exams have allowed us. So, a multidisciplinary team effort is needed for successful neonatal airway management.

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Airway management in neonates and infants with congenital airway lesions

Cited by 3 publications

References 12 publications

Post-intubation tension pneumothorax and pneumoperitoneum in a low birth weight neonate with giant epulis

Post-intubation tension pneumothorax and pneumoperitoneum in a low birth weight neonate with giant epulis

Anaesthetic challenges in a patient presenting with huge neck teratoma

Airway management in a rare case of congenital palate teratoma with a cleft palate: A case report

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