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AIRWAY MANAGEMENT IN A CHILD WITH EDWARD’S SYNDROME

BIBIANA VITKOVIĆ ; Klinika za dječje bolesti Zagreb, Zavod za dječju anesteziologiju, reanimatologiju i intenzivnu medicinu, Zagreb, Hrvatska
TOMISLAV KIFER ; Klinika za dječje bolesti Zagreb, Zavod za dječju anesteziologiju, reanimatologiju i intenzivnu medicinu, Zagreb, Hrvatska
SANDRA KRALIK ; Klinika za dječje bolesti Zagreb, Zavod za dječju anesteziologiju, reanimatologiju i intenzivnu medicinu, Zagreb, Hrvatska
DIANA BUTKOVIĆ ; Klinika za dječje bolesti Zagreb, Zavod za dječju anesteziologiju, reanimatologiju i intenzivnu medicinu, Zagreb i Sveučilište u Osijeku, Medicinski fakultet, Osijek, Hrvatska

Sažetak

We report on airway management in a girl with mosaic type of Edward’s syndrome for elective surgery, laparotomy in general anesthesia. In Edward’s syndrome, among other manifestations, craniofacial anomalies are expressed and there is a possibility of diffi cult ventilation and intubation. In this case, we secured the airway with supraglottic airway device during diagnostics (anesthesia for magnetic resonance imaging), we performed fi beroptic intubation for elective laparoscopy, and in the intensive care unit, she was intubated with direct laryngoscopy. Ventilation and intubation were accomplished without problems. Postoperative recovery was complicated with hypotonia, pneumonia and the need of reintubation and mechanical ventilation.

Ključne riječi

Edward’s syndrome; airway management; intubation

Hrčak ID:

209076

URI

https://hrcak.srce.hr/209076

Datum izdavanja:

18.11.2018.

Podaci na drugim jezicima: hrvatski

Posjeta: 1.500 *