UNEXPECTED SUBGLOTTIC STENOSIS IN A NEWBORN IN ANESTHESIA INDUCTION

An unexpected subglottic stenosis in a neonate with multiple congenital anomalies who was scheduled for an emergency surgery of duodenal atresia was described in this case report. Duodenal atresia was diagnosed on the first day of life. After induction with sevoflurane, despite good view of the vocal cords, it was not possible to advance endotracheal tube beyond the vocal cords. After a flexible fiberoptic examination, subglottic stenosis was diagnosed and ‘an emergency tracheostomy’decision was taken. The urgency of the operation and patent postoperative airway requirement are the key points which influence this decision.

YENİDOĞANDA ANESTEZİ İNDÜKSOYONUNDA BEKLENMEYEN SUBGLOTİK STENOZ

Multipl konjenital anomalili bir yenidoğan,doğumdan sonraki ilk gün teşhis edilen duodenal atrezisi için acil operasyona alınmış ve anestezi indüksiyonunda entübasyon sırasında subglotik stenoz ile karşılaşılmış. Sevofluran ile indüksiyon sonrası vokal kordlar güzel görülmesine rağmen endotrakeal tüp ilerletilememiştir. Acil flexible fiberoptik bronkoskopla muayene edilerek subglotik stenoz teşhisi koyulmuştur. Ameliyatın aciliyetinden dolayı ‘acil trakeostomi’kararı alınarak cerrahiye devam edilmiştir. Bu kararda cerrahinin aciliyeti ve postoperatif sağlam bir havayolu ihtiyacı etkili olmuştur.

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