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Case Reports
Life-Threatening Tracheal Tube Obstruction by Vernix Caseosa in a Newborn: A Case Report.
- Takero Iwai, Yuta Kawatsu, and Taiki Kojima.
- From the Department of Anesthesiology, Aichi Children's Health and Medical Center, Obu City, Japan.
- A A Pract. 2024 Jul 1; 18 (7): e01829e01829.
AbstractAccurate diagnosis and optimal management of sudden intraoperative ventilatory failure is crucial in children. Herein, we report the case of a newborn who underwent pacemaker implantation immediately after birth via cesarean delivery. The vernix caseosa caused a partial tracheal obstruction and was dislodged during tracheal tube suctioning, leading to complete obstruction of the tracheal tube. Diagnosis of tracheal tube obstruction was challenging because the obstruction occurred immediately after airway suctioning, which is performed to rule out tracheal tube obstruction. Anesthesiologists must consider airway obstruction from high-viscosity vernix caseosa as a possibility immediately after airway suctioning in newborns.Copyright © 2024 International Anesthesia Research Society.
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