Marques-Pires R, Trindade H
Anesthesiology Department, Centro Hospitalar de Lisboa Central, EPE, Lisboa, Portugal.
Anesthesiology Department, Centro Hospitalar de Lisboa Central, EPE, Lisboa, Portugal.
Rev Esp Anestesiol Reanim. 2017 Apr;64(4):233-236. doi: 10.1016/j.redar.2016.10.003. Epub 2017 Jan 13.
Neonates and small infants with syndromes characterized by the presence of craniofacial abnormalities may represent great challenges regarding the management of the airway. We describe the case of a 9-day-old neonate with Treacher Collins syndrome, in which a laryngeal mask was essential to improve the airway obstruction, ventilate the patient and serve as an airway conduit for a fiberoptic intubation. By presenting this case, we intend to show that in neonates with Treacher Collins syndrome, in whom difficulties ventilation and intubation are expected, a thoughtful airway management planning is mandatory.
患有以颅面异常为特征综合征的新生儿和小婴儿,在气道管理方面可能面临巨大挑战。我们描述了一例9天大患有特雷彻·柯林斯综合征的新生儿病例,其中喉罩对于改善气道梗阻、为患者通气以及作为纤维支气管镜插管的气道通道至关重要。通过展示这个病例,我们旨在表明,对于预计存在通气和插管困难的患有特雷彻·柯林斯综合征的新生儿,必须进行周全的气道管理规划。