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Korean Journal of Anesthesiology 2008;54(5):569-572.
DOI: https://doi.org/10.4097/kjae.2008.54.5.569   
Emergency Airway Management using a Laryngeal Mask Airway (LMA) Following Extubation in an Infant with a Congenital Facial Anomaly: A case report.
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
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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