Anesthesia induction for a difficult intubation infant with a laryngeal cyst.
We report a case of difficult airway in a 37-day-old female with a laryngeal cyst during induction of general anesthesia. This case illustrates that upper airway obstruction can occur during induction of anesthesia with an unusual infantile aryepiglottic fold cyst. In this case, successful orotracheal intubation was achieved with spontaneous respiration, and preoperative information on orientation of the lesion assisted in positioning the patient to minimize the degree of dynamic obstruction.
Kariya
Nobutaka
N
Department of Anesthesiology and Intensive Care Medicine, Osaka City University Medical School, Osaka, USA. n_kariya@hotmail.com
Nishi
Shinichi
S
Funao
Tomoharu
T
Nishikawa
Kiyonobu
K
Asada
Akira
A
D000402:Airway Obstruction / Q000150:complications; D000769:Anesthesia, Inhalation; D003560:Cysts / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal; D007818:Laryngeal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D007828:Laryngoscopy; D012135:Respiratory Sounds; D014057:Tomography, X-Ray Computed