Emergency Airway Management using a Laryngeal Mask Airway (LMA) Following Extubation in an Infant with a Congenital Facial Anomaly: A case report.
10.4097/kjae.2008.54.5.569
- Author:
Myong Sook JEON
1
;
Kwang Suk SEO
;
Hyun Jeong KIM
;
Kwang Won YUM
Author Information
1. Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
airway management;
difficult tracheal intubation;
Goldenhar syndrome;
infant;
laryngeal mask airway
- MeSH:
Airway Management;
Airway Obstruction;
Anesthesia;
Emergencies;
Female;
Goldenhar Syndrome;
Humans;
Infant;
Intubation;
Laryngeal Masks;
Lung;
Macrostomia;
Masks;
Oxygen
- From:Korean Journal of Anesthesiology
2008;54(5):569-572
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A female infant (4 months-old) with Goldenhar syndrome was scheduled for cheiloplasty to treat a transverse facial cleft and congenital macrostomia. There was no past history of difficulty during feeding or airway obstruction. Following induction of anesthesia using an inhalational anesthetic technique, conventional oro-tracheal intubation was possible. However, following extubation of the endotracheal tube she developed an upper airway obstruction. Her lungs could not be ventilated using a facial mask and oxygen saturation was decreased. A #1 laryngeal mask airway (LMA) was inserted immediately, which allowed us to ventilate her lungs and restore the oxygen saturation. Here we describe the use of a LMA for emergency airway management in an infant.
