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Sedation and fiberoptic intubation of a neonate with a cystic hygroma
Author(s) -
Bryan Y.,
Chwals W.,
Ovassapian A.
Publication year - 2005
Publication title -
acta anaesthesiologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.738
H-Index - 107
eISSN - 1399-6576
pISSN - 0001-5172
DOI - 10.1111/j.1399-6576.2004.00531.x
Subject(s) - medicine , sedation , anesthesia , intubation , airway , tracheal intubation , cystic hygroma , surgery , bronchoscopy , pregnancy , fetus , biology , genetics
The flexible bronchoscope (FB) has been used to secure the difficult airway in pediatric patients (1). Difficult intubations in patients with cystic hygromas have been performed in awake patients or after the induction of general anesthesia (2). A recent case report acknowledges the challenges of performing intubations in pediatric patients under sedation because of their inability to fully cooperate (3). The following case demonstrates the two step–two fiberoptic bronchoscopic tracheal intubation performed using sedation and topical anesthesia in a neonate with a difficult airway.