title: Anesthesia for a neonate with persistent buccopharyngeal membrane and unilateral choanal atresia.
abstract: We report our anesthetic management of a neonate who presented with complete persistent buccopharyngeal membrane and unilateral choanal atresia, and underwent examination under anesthesia. Maintaining airway patency and spontaneous respiration were our priority. Intravenous propofol was used to maintain adequate anesthetic depth for flexible laryngotracheoscopy and nasotracheal intubation through the only patent passage. We encountered problems of bradycardia and hypotension. Tracheostomy was performed. Definitive management of the persistent buccopharyngeal membrane was carried out on day 14.
authors.affiliation: KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore, Singapore. evangeline.lim@kkh.com.sg
authors.forename: Evangeline H
authors.initials: EH
authors.lastname: Lim
authors.forename: Shani
authors.initials: S
authors.lastname: Tan
authors.forename: Suan-Ling
authors.initials: SL
authors.lastname: Lim
mesh_terms: D000768:Anesthesia, General; D018686:Anesthetics, Intravenous; D002610:Cheek / Q000002:abnormalities*; D002754:Choanal Atresia / Q000601:surgery*; D005260:Female; D006439:Hemodynamics; D006801:Humans; D007231:Infant, Newborn; D007431:Intraoperative Complications; D008566:Membranes / Q000502:physiology; D010614:Pharynx / Q000002:abnormalities*; D015742:Propofol; D012121:Respiration, Artificial; D014139:Tracheostomy
chemical_list: D018686:Anesthetics, Intravenous; D015742:Propofol