Anaesthetic management of a neonate with prenatally diagnosed cervical tumour and upper airway obstruction
| Autor: | Harumi Nakayama, Shigehito Sato, Hiroshi Naito, Makoto Tanaka |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Anesthesia General Ultrasonography Prenatal Pregnancy Intubation Intratracheal medicine Anesthesia Obstetrical Humans Intubation General anaesthesia EXIT procedure Laryngoscopy Cesarean Section business.industry Tracheal intubation Infant Newborn General Medicine Heart Rate Fetal Airway obstruction medicine.disease Respiration Artificial Surgery Airway Obstruction Uterine atony Fetal Diseases Anesthesiology and Pain Medicine Head and Neck Neoplasms Anesthesia Ritodrine Female Airway management Lymphangioma Cystic business medicine.drug |
| Zdroj: | Canadian Journal of Anaesthesia. 41:236-240 |
| ISSN: | 1496-8975 0832-610X |
| DOI: | 10.1007/bf03009837 |
| Popis: | We report the anaesthetic management of a mother, and airway management of a neonate with a prenatal diagnosis of cervical cystic hygroma causing upper airway obstruction. The mortality of such neonates due to upper airway obstruction is reported to exceed 20% following deliveries. Elective Caesarean section was performed under general anaesthesia, and in utero tracheal intubation of the neonate was accomplished under uninterrupted maternal-fetal circulation. By utilizing isoflurane and ritodrine, the heart rate of the neonate remained between 120 to 150 bpm for four minutes following uterine incision. We believe that it is important that a multidisciplinary approach be initiated for planning of airway management of the neonate soon after the diagnosis is made. Laryngoscopy blades larger than normal for neonates, and a portable Doppler to monitor the viability of the neonate were found to be useful in the management of the neonate during in utero tracheal intubation. Although estimated blood loss was not increased, nor did uterine atony occur postoperatively despite the use of ritodrine during Caesarean section, the efficacy and safety of ritodrine to delay placental detachment have not been proved. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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