Korean J Anesthesiol.  2008 May;54(5):569-572. 10.4097/kjae.2008.54.5.569.

Emergency Airway Management using a Laryngeal Mask Airway (LMA) Following Extubation in an Infant with a Congenital Facial Anomaly: A case report

• Jeon MS
• Seo KS
• Kim HJ
• Yum KW

• KMID: 2236556
• DOI: http://doi.org/10.4097/kjae.2008.54.5.569

Abstract

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.

Keyword

airway management; difficult tracheal intubation; Goldenhar syndrome; infant; laryngeal mask airway

MeSH Terms

Airway Management
Airway Obstruction
Anesthesia
Emergencies
Female
Goldenhar Syndrome
Humans
Infant
Intubation
Laryngeal Masks
Lung
Macrostomia
Masks
Oxygen
Oxygen