Anesth Pain Med.  2007 Jan;2(1):37-41.

An Experience of Anesthesia of Congenital Anomaly with Airway Involvement : 46 case report

• Yoo TJ
• Lee SS
• Yoo BH
• Woo SH
• Lim YH
• Lee WY

Abstract

As the improved medical techniques and environmental changes have increased the frequency of general anesthesia for uncommon congenital anomalies. The airway management for a patient with congenital anomaly gives significant challenges to the anesthesiologist. The purpose of this report is to review the authors' experience with airway management and ventilatory support during the perioperative period in children with congenital anomalies with airway involvement, and to summarize anesthetic implications associated with particular congenital anomalies by literature review. Total 46 cases of general anesthesia for operation of congenital anomalies were performed from January 2000 to August 2005 in our hospital. Most common congenital anomaly is a Down syndrome (17 cases, 37%), and most common cause of surgery is the orthopedic surgery for correction of deformed spine (18 cases, 41%). Direct laryngoscopy was successfully used to establish an airway in 35 (76.1%) cases, whereas 5 (11%) cases required the use of fiberoptic bronchoscopy to establish an airway before surgery.

Keyword

airway; craniofacial abnormality; pediatric

MeSH Terms

Airway Management
Anesthesia*
Anesthesia, General
Bronchoscopy
Child
Craniofacial Abnormalities
Down Syndrome
Humans
Laryngoscopy
Orthopedics
Perioperative Period
Spine