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KMID : 0356920080540050569
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Korean Journal of Anesthesiology
2008 Volume.54 No. 5 p.569 ~ p.572
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Emergency Airway Management using a Laryngeal Mask Airway (LMA) Following Extubation in an Infant with a Congenital Facial Anomaly - A case report -
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Jeon Myong-Sook
Seo Kwang-Suk
Kim Hyun-Jeong
Yum Kwang-Won
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Abstract
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A female infant (4 months-old) with Goldenhar syndrome was scheduled for cheiloplasty to treat a transverse facial cleft and congenital macrostomia. There was no past history of difficulty during feeding or airway obstruction. Following induction of anesthesia using an inhalational anesthetic technique, conventional oro-tracheal intubation was possible. However, following extubation of the endotracheal tube she developed an upper airway obstruction. Her lungs could not be ventilated using a facial mask and oxygen saturation was decreased. A #1 laryngeal mask airway (LMA) was inserted immediately, which allowed us to ventilate her lungs and restore the oxygen saturation. Here we describe the use of a LMA for emergency airway management in an infant.
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KEYWORD
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airway management, difficult tracheal intubation, Goldenhar syndrome, infant, laryngeal mask airway
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