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AIRWAY MANAGEMENT IN A CHILD WITH EDWARD’S SYNDROME

BIBIANA VITKOVIĆ ; Zagreb Children’s Hospital, Department of Anesthesiology, Resuscitation and Intensive Medicine, Zagreb, Croatia
TOMISLAV KIFER ; Zagreb Children’s Hospital, Department of Anesthesiology, Resuscitation and Intensive Medicine, Zagreb, Croatia
SANDRA KRALIK ; Zagreb Children’s Hospital, Department of Anesthesiology, Resuscitation and Intensive Medicine, Zagreb, Croatia
DIANA BUTKOVIĆ ; Zagreb Children’s Hospital, Department of Anesthesiology, Resuscitation and Intensive Medicine, Zagreb and University of Osijek, Faculty of Medicine, Osijek, Croatia

Abstract

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.

Keywords

Edward’s syndrome; airway management; intubation

Hrčak ID:

209076

URI

https://hrcak.srce.hr/209076

Publication date:

18.11.2018.

Article data in other languages: croatian

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