Sevoflurane-Based General Anesthesia Induction via Nasopharyngeal Endotracheal Tube Prior to Definitive Airway Control in Pediatric Oral Tumors.
Anesth Prog
; 62(3): 118-21, 2015.
Article
em En
| MEDLINE
| ID: mdl-26398129
ABSTRACT
Airway-related tumors in pediatrics are always challenging for anesthesiologists. We present 2 cases of friable, bleeding large tumors in the oral cavity where conventional methods of securing the airway were not possible. Induction of general anesthesia could potentially lead to complete airway collapse and catastrophic obstruction in such cases. Awake fibrotic intubation is limited in pediatric patients. We describe the innovative use of an endotracheal tube inserted blindly as a nasopharyngeal airway guided by end-tidal carbon dioxide trace. This allowed us to bypass the anatomical obstruction and induce anesthesia using sevoflurane in high-flow oxygen. By the described technique, we were able to maintain and assist the spontaneous breathing of the child as well. We also highlight limitations of the use of a conventional nasopharyngeal airway in such situations.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Bucais
/
Anestésicos Inalatórios
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Manuseio das Vias Aéreas
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Anestesia por Inalação
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Anestesia Endotraqueal
/
Éteres Metílicos
Limite:
Child, preschool
/
Humans
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Infant
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Male
Idioma:
En
Revista:
Anesth Prog
Ano de publicação:
2015
Tipo de documento:
Article