Harshad Parate Leena, Pujari Vinayak, Channappa Nagaraj Mungasuvalli, Anandaswamy Tejesh Channasandra
Department of Anesthesia, M S Ramaiah Medical College, Bengaluru, Karnataka, India.
Saudi J Anaesth. 2015 Jan;9(1):86-8. doi: 10.4103/1658-354X.146322.
Recurrent respiratory papillomatosis (RRP) is a rare, chronic disease of viral etiology affecting most commonly larynx. A 5-year-old child with stridor was posted for microlaryngoscopic excision of laryngeal papilloma. We discuss the perioperative management of case with the various ventilation strategies. In child with stridor intubation remains the safest option. It is suggested to maintain spontaneous ventilation until intubation as mask ventilation could be difficult.
复发性呼吸道乳头状瘤病(RRP)是一种病因由病毒引起的罕见慢性疾病,最常累及喉部。一名5岁喘鸣儿童拟行喉乳头状瘤显微喉镜切除术。我们讨论该病例围手术期的管理及各种通气策略。对于喘鸣儿童,插管仍是最安全的选择。建议在插管前维持自主通气,因为面罩通气可能困难。