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Paediatric anaesthesia · Jul 2008
Case ReportsEmergency use of a size 1 laryngeal mask airway in a ventilated neonate with an undiagnosed type IV laryngotracheo-oesophageal cleft.
- Philip Russell, Neil Chambers, Jean du Plessis, and Shyan Vijayasekeran.
- Department of Anaesthesia, Princess Margaret Hospital for Children, Perth, WA, Australia. phillip.russell@rch.org.au
- Paediatr Anaesth. 2008 Jul 1; 18 (7): 658-62.
AbstractThe perioperative management of a neonate with a type IV laryngotracheo-oesophageal cleft and exomphalos major is described. Following an otherwise uncomplicated exomphalos repair, this baby became increasingly and inexplicably difficult to ventilate through an endotracheal tube. The emergency use of a laryngeal mask airway as a rescue maneuver allowed positive pressure ventilation, and subsequent diagnosis of the airway abnormality. The difficulties in management of the two co-existing conditions are discussed.
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