A & A case reports
-
We present the case of a neonate with congenital tracheal stenosis (1.4-mm diameter) who came to the operating room as both an unanticipated and anticipated case of difficult airway management. We discuss the airway management of newborn children with congenital tracheal stenosis, and rescue options for the difficult airway in very small children.
-
Propionic acidemia is a congenital disorder of metabolism where the enzyme propionyl-CoA carboxylase is nonfunctional, resulting in an accumulation of propionic acid in the blood. It is important to avoid excess protein intake and a catabolic state to prevent acidemia. Additionally, it may be wise to avoid anesthetic drugs metabolized by propionyl-CoA carboxylase because use of these drugs may lead to acidosis. We present a case of a parturient with propionic acidemia who presented for induction of labor.