THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA
Online ISSN : 1349-9149
Print ISSN : 0285-4945
ISSN-L : 0285-4945
Case Reports
Anesthetic Management of Congenital Esophageal Atresia with Tracheomalacia Using Laryngeal Mask Airway
Hiromi SHINOZAKIMiwako NAKAOYuka SAKURAIHideo UNETANIHiromi KUROKAWANobuyoshi SATO
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2013 Volume 33 Issue 2 Pages 247-252

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Abstract

  We present a case of congenital esophageal atresia associated with subglottic stenosis in a newborn infant. On the day of birth, a gastrostomy was planned under general anesthesia. Following induction, mask ventilation was possible, though airway management was difficult during intubation and respiratory care was converted to a laryngeal mask airway prior to the end of the operation. However, respiratory state remained unstabilized, so a tracheostomy was performed the next day. Prior to that procedure, subglottic stenosis was shown by bronchofiberscope and 3D computed tomography findings. During the tracheostomy, respiratory management was performed with a laryngeal mask airway. Although tracheomalacia also emerged and management with a tracheostomy tube was troublesome, after stabilizing the respiratory condition a radical operation was performed at 85 days of age.

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© 2013 by The Japan Society for Clinical Anesthesia
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