Open AccessMaxillary tumor in a child: An expected case of difficult airway
Author(s) -
. Reena,
Ashutosh Vikram
Publication year - 2016
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/1658-354x.168832
Subject(s) - medicine , airway , bronchoscopy , sevoflurane , craniofacial , breathing , airway management , anesthesia , population , topicalization , orthognathic surgery , surgery , linguistics , philosophy , environmental health , psychiatry
Craniofacial abnormalities in pediatric population fall under the category of expected case of difficult airway. We present here a case of large maxillary tumor in a 9-year-old girl where the relative difficulty was further compounded due to her noncooperation which was again expected from a child. Local anesthetic topicalization of airway followed by slow inhalational induction with gradually increasing sevoflurane, while maintaining her spontaneous breathing, we secured her airway using fiber optic bronchoscopy. The surgery and the extubation went uneventful. In conclusion a planned airway management using fiber optic bronchoscope after airway topicalization and sevoflurane induction is the ideal technique in an expected case of difficult pediatric airway.