Saxena Kirti N, Bansal Parul
Department of Anesthesiology, Maulana Azad Medical College, New Delhi, India.
J Anaesthesiol Clin Pharmacol. 2012 Jul;28(3):358-60. doi: 10.4103/0970-9185.98339.
Management of the difficult airway in an infant is a challenge for the anesthesiologist. A 10-month-old infant presented to an otolaryngologist with nasopharyngeal mass since birth, which had increased rapidly in size in the last 1 month and was hanging through the cleft palate into the oropharynx. The infant was scheduled for excision of the nasopharyngeal mass through a maxillary approach and the tongue mass through an oral approach under general anesthesia. This case report describes endotracheal intubation performed successfully under sedation and local anesthesia in an infant with a nasal mass protruding through the cleft palate into the oropharynx.
对麻醉医生来说，处理婴儿的困难气道是一项挑战。一名10个月大的婴儿自出生以来就因鼻咽部肿物就诊于耳鼻喉科医生处，该肿物在过去1个月内迅速增大，已通过腭裂垂入口咽。该婴儿计划在全身麻醉下通过上颌入路切除鼻咽部肿物，并通过口腔入路切除舌部肿物。本病例报告描述了在镇静和局部麻醉下，成功地对一名鼻咽肿物经腭裂垂入口咽的婴儿实施了气管插管。
