Airway obstruction during general anesthesia in a premature infant suspecting bronchospasm and/or airway malacia: A case report.
10.17085/apm.2017.12.2.147
- Author:
Hyojung SEO
1
;
Sangjin PARK
;
Haemi LEE
Author Information
1. Department of Anesthesiology and Pain Medicine, Yeungnam University College of Medicine, Daegu, Korea. hmlee@yu.ac.kr
- Publication Type:Case Report
- Keywords:
Airway obstruction;
General anesthesia;
Prematurity
- MeSH:
Airway Management;
Airway Obstruction*;
Anesthesia, General*;
Bronchial Spasm*;
Carbon Dioxide;
Humans;
Infant;
Infant, Newborn;
Infant, Premature*;
Intubation;
Intubation, Intratracheal;
Positive-Pressure Respiration
- From:Anesthesia and Pain Medicine
2017;12(2):147-150
- CountryRepublic of Korea
- Language:English
-
Abstract:
Airway management is challenging during general anesthesia particularly in small infants. Airway obstruction is prone to occur in premature infants during general anesthesia due to several reasons. We report a case of airway obstruction occurred during the induction of general anesthesia in a 2-month-old infant. Several attempts at endotracheal intubation with positive pressure ventilation resulted in repeated patterns of no end-tidal carbon dioxide output after each trial of endotracheal intubation, but it was reappeared after extubation. However, anesthetic induction with self-respiration and gentle assistance with manual bagging led to a successful intubation. This case was explained by hydromechanics in a collapsible premature airway.
