Flexible fiberoptic bronchoscopy through the laryngeal mask airway in a small, premature neonate.
The laryngeal mask airway (LMA) was introduced as a supraglottic device in anesthesia for routine use in the normal adult and pediatric population. Because the distal end of properly placed LMA faces the laryngeal inlet, this device can be used as a guide to flexible fiberoptic bronchoscopy (FFB) performance. In this clinical case, we present a small premature neonate with severe congenital biphasic stridor. FFB was performed successfully through the LMA while maintaining a patent airway during general anesthesia and permitting spontaneous respiration, as well as allowing assisted ventilation when necessary. An immediately subglottic intramural mass was revealed and tracheostomy was performed.
Department of Anesthesiology, Faculty of Medicine, Bnai Zion Medical Center, Technion-Israel Institute of Technology, Haifa, Israel. somri_m@yahoo.com
Mostafa
M
Somri
Christian
C
Barna Teszler
Riad
R
Tome
Amir
A
Kugelman
Sonia
S
Vaida
Luis
L
Gaitini
D000768:Anesthesia, General; D001999:Bronchoscopy / Q000379:methods*; D000013:Congenital Abnormalities; D005336:Fiber Optic Technology; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D007235:Infant, Premature, Diseases / Q000175:diagnosis* / Q000601:surgery; D017214:Laryngeal Masks; D012135:Respiratory Sounds / Q000209:etiology*; D014133:Tracheal Diseases / Q000175:diagnosis* / Q000601:surgery; D014139:Tracheostomy; D016896:Treatment Outcome