دورية أكاديمية
Unanticipated difficult airway in a neonate: no child’s play.
العنوان: | Unanticipated difficult airway in a neonate: no child’s play. |
---|---|
المؤلفون: | S. Podder, S. Raghavan Nandyal, S. Sinha, A. Kumar HD |
المصدر: | Pediatric Anesthesia and Critical Care Journal (PACCJ), Vol 10, Iss 2, Pp 44-48 (2022) |
بيانات النشر: | Pediatric Anesthesia and Critical Care Journal, 2022. |
سنة النشر: | 2022 |
المجموعة: | LCC:Pediatrics LCC:Anesthesiology |
مصطلحات موضوعية: | difficult airway, neonate, tracheostomy, intubation, ventilation, surgical airway., Pediatrics, RJ1-570, Anesthesiology, RD78.3-87.3 |
الوصف: | Neonatal intubations can be challenging despite unre- markable external findings and optimal laryngoscopic views. A 4-day-old, pre-term, was scheduled for an ex- ploratory laparotomy. Our first attempt at intubation with a Miller’s blade was unsuccessful. After two unsuccess- ful attempts, a senior anesthesiologist was called for help. Mask ventilation was resumed between all the attempts. Hemodynamic instability was identified and treated. Fi- beroptic bronchoscopy revealed a laryngeal anomaly, and further attempts were deferred. Spontaneous respiratory efforts returned, and the surgery was rescheduled. The neonate developed respiratory distress that evening. An emergency tracheostomy was deemed necessary and a tracheostomy tube was placed. With a surgical airway in place, we proceeded with exploratory laparotomy. The child was stable throughout the surgery. Neonates may present with unpredictably demanding air- ways. The absence of requisite societal guidelines on the management of difficult neonatal airways makes the management challenging. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2281-8421 |
Relation: | http://www.anestesiarianimazione.com/PACCJ%202022/Unanticipated%20difficult%20airway%20in%20a%20neonate%20no%20child%20s%20play.pdf; https://doaj.org/toc/2281-8421 |
DOI: | 10.14587/paccj.2022.7 |
URL الوصول: | https://doaj.org/article/8a6ea9cd4734408dac356e635f4a7daa |
رقم الأكسشن: | edsdoj.8a6ea9cd4734408dac356e635f4a7daa |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 22818421 |
---|---|
DOI: | 10.14587/paccj.2022.7 |