Pre-anesthetic evaluation can play a crucial role in the determination of airway management in a child with oropharyngeal tumor

被引：3

作者：

Aoi Y. ^{[1
]}

Kamiya Y. ^{[1
]}

Shioda M. ^{[1
]}

Furuya R. ^{[1
]}

Yamada Y. ^{[1
]}

机构：

[1] Department of Anesthesiology and Intensive Care Medicine, Yokohama City University Graduate School of Medicine, Kanazawa-ku, Yokohama 236-0004

来源：

Journal of Anesthesia | 2006年 / 20卷 / 3期

关键词：

Airway management; Avoiding tracheostomy; Oropharyngeal tumor; Preoperative examinations;

D O I：

10.1007/s00540-006-0392-y

中图分类号：

学科分类号：

摘要：

We experienced a case of a huge hemangioma occupying the oropharyngeal space in an 11-year-old child. Although urgent surgical tracheostomy under local anesthesia was suggested initially, medical interview and findings of computerized tomography and fiberoptic laryngoscopy revealed that the airway of the patient was relatively stable when she was in the semi-left decubitus position. General anesthetic induction would have had potential risks of airway obstruction. Thus, after placing the patient in the semi-left decubutus position, we chose semi-awake induction to secure the airway. With a small dose of fentanyl, we accomplished orotracheal intubation. In this report, we discuss the importance of referring to an airway management algorithm when encountering a difficult airway. © JSA 2006.

引用

页码：215 / 219

页数：4

共 8 条

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