Novel tubeless supraglottic ventilation in a difficult paediatric airway

Ng Ruth, Budiman Maryam, Azman Mawaddah, Bee See Goh

Research output: Contribution to journalArticle

Abstract

Introduction: Discussion and careful planning are essential between surgeon and anaesthesiologist before upper airway surgery, especially in paediatric patients with upper airway obstruction. Tubeless supraglottic ventilation is an accepted technique worldwide. Case: A 22-month old boy presented with upper gastrointestinal bleeding and right lung empyema with underlying pneumonia. He was treated for Haemolytic Uremic Syndrome secondary to pneumonia. The boy underwent upper gastroendoscopy under general anaesthesia for arrest of gastrointestinal bleeding and was kept intubated for 21 days. He was subsequently reintubated three days later for emergency video-assisted thoracoscopy, pleural stripping, and pus drainage under general anaesthesia. He was electively extubated on the third post-surgical day. Two weeks later, the patient developed stridor and suffered respiratory distress. A flexible fibreoptic scope revealed left vocal cord palsy. He was subject to emergency direct laryngoscopy and examination under general anaesthesia due to clinical suspicion of airway stenosis. Tubeless supraglottic ventilation was used and balloon dilatation with microlaryngeal surgery was successful. Conclusion: Tubeless supraglottic ventilation is a novel and useful method in short upper airway surgery.

Original languageEnglish
Pages (from-to)43-46
Number of pages4
JournalEgyptian Journal of Anaesthesia
Volume34
Issue number1
DOIs
Publication statusPublished - 1 Jan 2018

Fingerprint

General Anesthesia
Ventilation
Pediatrics
Pneumonia
Emergencies
Hemorrhage
Vocal Cord Paralysis
Thoracoscopy
Hemolytic-Uremic Syndrome
Laryngoscopy
Empyema
Suppuration
Respiratory Sounds
Airway Obstruction
Dilatation
Drainage
Pathologic Constriction
Lung
Surgeons

Keywords

  • Difficult paediatric airway
  • Supraglottic ventilation
  • Tracheal stenosis

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Novel tubeless supraglottic ventilation in a difficult paediatric airway. / Ruth, Ng; Maryam, Budiman; Mawaddah, Azman; Goh, Bee See.

In: Egyptian Journal of Anaesthesia, Vol. 34, No. 1, 01.01.2018, p. 43-46.

Research output: Contribution to journalArticle

Ruth, Ng ; Maryam, Budiman ; Mawaddah, Azman ; Goh, Bee See. / Novel tubeless supraglottic ventilation in a difficult paediatric airway. In: Egyptian Journal of Anaesthesia. 2018 ; Vol. 34, No. 1. pp. 43-46.
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