Anesthetic management for an infant undergoing endoscopic resection of a large subglottic papiloma.
BACKGROUND
An infant with a large subglottic papilloma that caused severe respiratory distress needed anesthesia during resection of the papilloma.


OBJECTIVE
We planned an approach to the airway management this infant that we thought would be successful.


METHODS
We used three main tactics in managing the airway - inhaled sevoflurane, intravenous fentanyl and the patient's resumed spontaneous breathing. We also allowed the otolaryngologist to quickly resect some of the papilloma before intubation.


RESULTS
Our patient's airway was managed successfully, and the papilloma was removed.


CONCLUSIONS
Management of the airway in a small child with obstruction can be aided by inducing anesthesia with sevoflurane, deepening anesthesia with intravenous fentanyl, and allowing the patient to resume spontaneous breathing.
Department of Anesthesiology, The Eye, Ear, Nose and Throat Hospital, Fudan University, Shanghai, China.
Xia
X
Shen
Wenxian
W
Li