Premium
Juvenile laryngeal papillomatosis: scary anaesthetic!
Author(s) -
THEROUX MARY,
GRODECKI VLADIMER,
REILLY JAMES,
KETTRICK ROBERT
Publication year - 1998
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1046/j.1460-9592.1998.00758.x
Subject(s) - medicine , ventilation (architecture) , anesthesia , intubation , airway obstruction , tracheal tube , airway , papillomatosis , lumen (anatomy) , laryngeal mask airway , larynx , surgery , dermatology , mechanical engineering , engineering
We describe three children ages 20 to 33 months who presented for surgical resection of their laryngeal papillomata. Their anaesthetic management revealed the severity of obstruction which these children presented and the obstacles that faced the anaesthesiologist trying to secure the airway and provide adequate ventilation. The airway obstruction had both a fixed and a dynamic component to it. This was evidenced by the ability of the children to maintain ventilation when spontaneously breathing. But, they exhibited total obstruction when ventilation was attempted via mask using positive pressure. It is possible to encounter obstruction to ventilation after the trachea has been intubated because of papillomata that were ‘shaved off,’ filling the tracheal tube lumen.