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KMID : 1155520170120020147
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Anesthesia and Pain Medicine
2017 Volume.12 No. 2 p.147 ~ p.150
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Airway obstruction during general anesthesia in a premature infant suspecting bronchospasm and/or airway malacia -A case report-
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Seo Hyo-Jung
Park Sang-Jin
Lee Hae-Mi
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Abstract
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Airway management is challenging during general anesthesia particularly in small infants. Airway obstruction is prone to occur in premature infants during general anesthesia due to several reasons. We report a case of airway obstruction occurred during the induction of general anesthesia in a 2-month-old infant. Several attempts at endotracheal intubation with positive pressure ventilation resulted in repeated patterns of no end-tidal carbon dioxide output after each trial of endotracheal intubation, but it was reappeared after extubation. However, anesthetic induction with self-respiration and gentle assistance with manual bagging led to a successful intubation. This case was explained by hydromechanics in a collapsible premature airway.
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KEYWORD
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Airway obstruction, General anesthesia, Prematurity
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