Professional paper

Anaesthesiological problems in children with congenital laryngeal stenosis

Biljana Drašković ; Institute of Child and Adolescent Health Care of Vojvodina, Clinic of Paediatric Surgery, Hajduk Veljkova 10, 21000 Novi Sad
Anna Uram Benka ; Institute of Child and Adolescent Health Care of Vojvodina, Clinic of Paediatric Surgery, Hajduk Veljkova 10, 21000 Novi Sad
Dragan Drašković ; Clinical Centre of Vojvodina, Hajduk Veljkova 1, 21000 Novi Sad
Dušan Marić ; Institute of Child and Adolescent Health Care of Vojvodina, Clinic of Paediatric Surgery, Hajduk Veljkova 10, 21000 Novi Sad
Dušica Simić ; University Children's Hospital, Tiršova 10, 11000 Belgrade

Abstract

Congenital laryngeal stenosis is a rare condition, which can be diagnosed in the early neonatal period. Manifest stenosis can be life threatening. Severe ("critical") types of stenosis require securing an adequate airway just after the birth, as well as early tracheotomy as a life-saving procedure.
This paper presents a case report of a preterm newborn with severe laryngeal stenosis diagnosed at birth. It was not possible to secure the airway even with endotracheal tubes of the smallest diameter, thus a laryngeal mask (LMA) was placed to provide adequate ventilation and oxygenation. Anaesthesia was administered in the same way during the tracheotomy procedure, which was performed in the earliest hours of the baby's life.

Keywords

laryngeal stenosis; laryngeal mask; newborn; airway

Hrčak ID:

60179

URI

https://hrcak.srce.hr/60179

Publication date:

1.10.2010.

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