Aspiration as the first-choice procedure for airway management in an infant with large epiglottic cysts: A case report
作者机构：Department of AnesthesiologyWest China HospitalSichuan UniversityChengdu 610041Sichuan ProvinceChina Department of AnesthesiologySichuan Cancer Hospital and InstituteSichuan Cancer CenterSchool of MedicineUniversity of Electronic Science and Technology of ChinaChengdu 610041Sichuan ProvinceChina
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2022年第10卷第23期
页 面：8249-8254页
核心收录：
学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学]
主 题：Epiglottic cysts Infant Airway management Difficult airway Case report
摘 要：BACKGROUND Epiglottic cysts is a rare but potentially lethal supraglottic airway pathology in infants due to the high risk of cannot intubation or cannot *** fiberoptic intubation appeared to be the safest technique,but it is very challenging in infants with large epiglottic *** it has the risk of airway *** report that cyst aspiration is an effective treatment as the first-choice procedure for airway management in an infant with large epiglottic *** SUMMARY A 46-day-old male infant weighing 2.3 kg presented to the emergency room with difficulty feeding,worsening stridor,and progressive respiratory *** cysts was diagnosed,but fibro bronchoscopy examination failed,as the fiberoptic bronchoscope was unable to cross the epiglottic cysts to the *** infant was transferred to the operating room for emergency cystectomy under general *** respiration was maintained during anesthesia induction,and cyst aspiration was performed as the first procedure for airway management under video laryngoscopy considering that the preoperative fibro bronchoscopy examination ***,the endotracheal tube was intubated *** was performed uneventfully,and the infant was safely transferred to the intensive care unit after *** infant was extubated smoothly on the third postoperative day and discharged on the eighth day after *** follow-up 1 year after the surgery,a normal airway was found by fibro bronchoscopy *** Epiglottic cyst aspiration can be considered the first procedure for airway management in infants with large epiglottic cysts.
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