Outpatient Anesthetic Management of A Child With Difficult Airway

Although, the incidence of difficult airway of pediatric patients is lower, the complications due to the difficult airway are very catastrophic. Especially, in outpatient anesthesia, if the anesthesiologist is alone and the conditions are insufficient, then, the anesthesiologist should be aware of the difficulties and be more careful. The alternative practices are available for different situations. The clinician can modify the techniques used. Rarely, very difficult cases may need outpatient anesthesia. We aimed to present the management of an expected difficult ventilation and intubation case who underwent carotid artery angiography in an outpatient setting.

Ameliyathane Dışı Anestezi Uygulanacak Zor Havayolu Olgusunda Anestezi Yönetimi Anesteziyoloji ve Reanimasyon

Pediatrik hastalarda zor havayolu insidansı daha düşük olmakla beraber zor havayoluna bağlı komplikasyonlar daha katastrofiktir. Özellikle, anestezistin yalnız ve şartların yetersiz olduğu ameliyathane dışı anestezi uygulamalarında daha dikkatli olmak gerekir. Bu olgu ile ameliyathane dışında anestezi uygulanması planlanan, beklenen zor ventilasyon ve entübasyon durumunda anestezi yönetimini sunmayı amaçladık.

Kaynakça

Engelhardt T, Weiss M. A child with a difficult airway: what do I do next?; Curr Opin Anesthesiol. 2012, 25:326-32.

Wei-liang Chen, et al. Liquid nitrogen cryotherapy of lip mucosa hemangiomas under inhalation general anesthesia with sevoflurane in early ınfancy. Ann Plast Surg. 2009;62: 154-7.

Bentley J M, et al. A review of common pediatric lip lesions: herpes simplex/recurrent herpes labialis,ımpetigo, mucoceles, and hemangiomas. Clin Pediatr. 2003;42:475-82

Braham DL, et al. Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. Clin Med. 2014; 14: 468-74.

Azizoglu M, et al. Reversal of profound neuromuscular blockade with sugammadex in an infant after bronchial foreign body removal. J Clin Anesth. 2016;33:315-6.

Garnier M, Bonnet F. Management of anesthetic emergencies and complications outside the operating room. Curr Opin Anaesthesiol. 2014;27:437-41.

Kaynak Göster