| Emergency Airway Management using a Laryngeal Mask Airway (LMA) Following Extubation in an Infant with a Congenital Facial Anomaly: A case report. |
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Myong Sook Jeon, Kwang Suk Seo, Hyun Jeong Kim, Kwang Won Yum |
1Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.
2Department of Dental Anesthesiology, Seoul National University School of Dentistry, Seoul, Korea. stone90@snu.ac.kr |
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| Abstract |
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A female infant (4 months-old) with Goldenhar syndrome was scheduled for cheiloplasty to treat a transverse facial cleft and congenital macrostomia. There was no past history of difficulty during feeding or airway obstruction.
Following induction of anesthesia using an inhalational anesthetic technique, conventional oro-tracheal intubation was possible. However, following extubation of the endotracheal tube she developed an upper airway obstruction.
Her lungs could not be ventilated using a facial mask and oxygen saturation was decreased. A #1 laryngeal mask airway (LMA) was inserted immediately, which allowed us to ventilate her lungs and restore the oxygen saturation. Here we describe the use of a LMA for emergency airway management in an infant. |
| Key Words:
airway management; difficult tracheal intubation; Goldenhar syndrome; infant; laryngeal mask airway |
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