title: Anesthetic concerns in a huge congenital sublingual swelling obscuring airway access.
abstract: Presence of intraoral pathology poses a great challenge during management of pediatric airway. We report management of big intraoral cystic swelling physically occupying the entire oral cavity restricting access to airway. Preintubation aspiration of swelling was done to decrease its size and make room for airway manipulation, followed by laryngoscopy and intubation in lateral position. Airway patency is at risk in postoperative period also, in this case, though the swelling decreased in size postoperatively but presence of significant edema required placement of tongue stitch and modified nasopharyngeal airway. Case report highlights simple maneuvers to manage a difficult case.
authors.affiliation: Department of Anesthesiology, Jai Prakash Narain Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Nilesh
authors.initials: N
authors.lastname: Kumar
authors.affiliation: Department of Neuroanesthesiology, Jai Prakash Narain Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Ashish
authors.initials: A
authors.lastname: Bindra
authors.affiliation: Department of Neuroanesthesiology, Jai Prakash Narain Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Niraj
authors.initials: N
authors.lastname: Kumar
authors.affiliation: Department of Anesthesiology, Jai Prakash Narain Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Naveen
authors.initials: N
authors.lastname: Yadav
authors.affiliation: Department of Pediatric Surgery, Jai Prakash Narain Apex Trauma Center, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Shilpa
authors.initials: S
authors.lastname: Sharma
keywords: Huge; anesthesia; child; difficult airway; intraoral swelling; postoperative
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