Upadhya Kavya R, Ramavakoda Chandrika Y, Ravindra Madhavi, Ganigara Anuradha
Department of Paediatric Anaesthesia, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India.
Indian J Anaesth. 2017 Jun;61(6):508-510. doi: 10.4103/ija.IJA_64_17.
In paediatric patients, airway management can be challenging due to unique anatomical and physiological variations. Hence, a thorough history, examination and pre-operative planning are essential in securing difficult airway in paediatrics. We report a case of a 7-month-old infant with rhabdomyosarcoma of the upper lip with anticipated difficult airway. The airway was managed with three different conventional techniques (modified nasal trumpet, supraglottic airway and direct laryngoscopy) for three different procedures in the same infant. The procedures were uneventful and recovery was good. This case report emphasises the use of conventional techniques in the management of difficult airway.
在儿科患者中,由于独特的解剖和生理差异,气道管理可能具有挑战性。因此,全面的病史、检查和术前规划对于确保儿科患者的困难气道至关重要。我们报告一例7个月大患有上唇横纹肌肉瘤且预计气道困难的婴儿病例。在同一婴儿的三个不同手术中,分别使用了三种不同的传统技术(改良鼻通气道、声门上气道和直接喉镜检查)来管理气道。手术过程顺利,恢复良好。本病例报告强调了传统技术在困难气道管理中的应用。