Management of congenital tracheal stenosis--using spontaneous ventilation to facilitate cardiopulmonary bypass.
We present an unusual case of an infant with life-threatening tracheal stenosis scheduled for repair utilizing cardiopulmonary bypass. After repeated attempts at intubation endtidal CO2 was absent. The child was eventually managed with spontaneous breathing sevoflurane via a facemask. The possible causes of absent endtidal CO2 after intubation are discussed.
Taylor
Katherine
K
Hospital for Sick Children, Toronto, Canada. ktaylor406@hotmail.com
Levine
Mark
M
D000769:Anesthesia, Inhalation; D002245:Carbon Dioxide / Q000378:metabolism; D002315:Cardiopulmonary Bypass; D005260:Female; D006801:Humans; D007223:Infant; D017214:Laryngeal Masks; D015656:Respiratory Mechanics; D014057:Tomography, X-Ray Computed; D014135:Tracheal Stenosis / Q000151:congenital / Q000000981:diagnostic imaging / Q000628:therapy*
D002245:Carbon Dioxide