Jaw thrust can deteriorate upper airway patency.
Upper airway obstruction is a frequent problem in spontaneously breathing children undergoing anesthesia or sedation procedures. Failure to maintain a patent airway can rapidly result in severe hypoxemia, bradycardia, or asystole, as the oxygen demand of children is high and oxygen reserve is low. We present two children with cervical masses in whom upper airway obstruction exaggerated while the jaw thrust maneuver was applied during induction of anesthesia. This deterioration in airway patency was probably caused by medial displacement of the lateral tumorous tissues which narrowed the pharyngeal airway.
von Ungern-Sternberg
B S
BS
Department of Anesthesia, University Children's Hospital Basel, Basel, Switzerland. bvonungern@uhbs.ch
Erb
T O
TO
Frei
F J
FJ
D000293:Adolescent; D000402:Airway Obstruction / Q000150:complications* / Q000209:etiology / Q000601:surgery; D016026:Bone Marrow Transplantation; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007442:Intubation, Intratracheal / Q000009:adverse effects* / Q000379:methods*; D007568:Jaw / Q000000981:diagnostic imaging / Q000502:physiology*; D008202:Lymphangioma / Q000150:complications / Q000151:congenital / Q000601:surgery; D008228:Lymphoma, Non-Hodgkin / Q000601:surgery; D008297:Male; D010614:Pharynx / Q000033:anatomy & histology / Q000000981:diagnostic imaging; D013120:Spinal Cord Neoplasms / Q000150:complications / Q000151:congenital / Q000601:surgery*; D014057:Tomography, X-Ray Computed