Anesthetic Management for Pediatric Awake Tracheostomy.
Awake tracheostomy is indicated for acute upper airway obstruction, when other methods of securing the airway, such as intubation and cricothyrotomy, have failed or are inappropriate. This option is rarely considered in pediatrics because of the concerns of patient cooperation and safety and has not been described in the literature. We describe the anesthetic management of an awake tracheostomy performed on a 7-year-old girl, with a large supraglottic mass obstructing the laryngeal introitus.
From the *Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; †Department of Anesthesiology and Critical Care, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; ‡Division of Otolaryngology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; and §Division of Otolaryngology, The Children's Hospital Of Philadelphia, Philadelphia, Pennsylvania.
Ian
I
Yuan
Benjamin B
BB
Bruins
Eleanor P
EP
Kiell
Luv R
LR
Javia
Jorge A
JA
Galvez
D000402:Airway Obstruction / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D000768:Anesthesia, General / Q000295:instrumentation / Q000379:methods*; D000772:Anesthesia, Local / Q000295:instrumentation / Q000379:methods*; D002648:Child; D005260:Female; D006801:Humans; D015278:Intensive Care Units, Pediatric; D014139:Tracheostomy / Q000379:methods*