Perioperative management of a child with vocal adhesion leading to unexpected difficult airway

研究成果: ジャーナルへの寄稿評論記事

抄録

We report a child with vocal cord adhesion encountered during induction of anesthesia A 4-month-old girl was scheduled for bilateral lip plasty. She was intubated for one week due to pneumonia at the age of 3 days. Hoarseness and stridor appeared just after extubation. Although laryngo-fiberoptic examination had been tried several times, otorhinologists could not find any abnormality. We once decided to postpone the operation because of severe stridor. However, laryngofiberoptic examination could not reveal any abnormality, and we rescheduled the operation. Tracheal intubation using laryngoscope was not possible due to vocal cord adhesion. Finally, 2.5 mm ID tracheal tube was intubated by using a fiberscope, and lip plasty was performed. The patient stayed in the ICU for 7 days after surgery. Tracheotomy was performed 3 weeks after the operation. We should pay attention to stridor in an infant before general anesthesia, since it suggests severe airway narrowing although laryngo-fiberoptic examination could not find any abnormalities.

元の言語英語
ページ(範囲)590-593
ページ数4
ジャーナルJapanese Journal of Anesthesiology
65
発行部数6
出版物ステータス出版済み - 6 1 2016

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Respiratory Sounds
Vocal Cords
Lip
Laryngoscopes
Hoarseness
Tracheotomy
Ambulatory Surgical Procedures
Intubation
General Anesthesia
Pneumonia
Anesthesia

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

これを引用

Perioperative management of a child with vocal adhesion leading to unexpected difficult airway. / Hitosugi, Takashi; Tsukamoto, Masanori; Fujiwara, Shigeki; Yokoyama, Takeshi.

:: Japanese Journal of Anesthesiology, 巻 65, 番号 6, 01.06.2016, p. 590-593.

研究成果: ジャーナルへの寄稿評論記事

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