Journal article
Anesthetic management for neonate with giant cystic hygroma involved upper airway
Korean journal of anesthesiology, Vol.60(3), pp.209-213
03/01/2011
DOI: 10.4097/kjae.2011.60.3.209
PMCID: PMC3071486
PMID: 21490824
Abstract
Significant differences exist between neonatal and adult airways. Anesthetic management of the airway may be challenging in neonate and young infant with large neck mass because these patients are at risk for sudden complete airway occlusion resulting in hypoventilation and hypoxemia. We experienced a 30-day-old baby presented with large cystic hygroma on the left side of neck. This mass was infiltrated in pharynx and large enough to disturb swallowing and breathing, and was not reduced despite of sclero-therapy. Therefore he was decided to get surgical removal. During the gaseous induction with sevoflurane, spontaneous respiration was maintained because difficulty was encountered with intubation. Intraoperatively, the endotracheal tube was dislodged unexpectedly because vigorous surgical traction. Postoperatively the baby was extubated 2 day after operation, and suffered from transient facial nerve palsy and continuous discharge from surgical wound. He was administered ICU for a long time.
Details
- Title: Subtitle
- Anesthetic management for neonate with giant cystic hygroma involved upper airway
- Creators
- Hyunzu Kim - Yonsei UniversityHyuk-Soo Kim - Yonsei UniversityJung-Tak Oh - Yonsei UniversityJeong Rim Lee - Yonsei University
- Resource Type
- Journal article
- Publication Details
- Korean journal of anesthesiology, Vol.60(3), pp.209-213
- DOI
- 10.4097/kjae.2011.60.3.209
- PMID
- 21490824
- PMCID
- PMC3071486
- NLM abbreviation
- Korean J Anesthesiol
- ISSN
- 2005-6419
- eISSN
- 2005-7563
- Publisher
- Korean Soc Anesthesiologists
- Number of pages
- 5
- Language
- English
- Date published
- 03/01/2011
- Academic Unit
- Anesthesia
- Record Identifier
- 9984806610502771
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