Airway emergency during general anesthesia in a child with plastic bronchitis following Fontan surgery: a case report
| Autor: | Shigehito Sawamura, Mae Harada, Hirofumi Nakamoto, Takahiro Honjo, Satoru Kayama, Kinuko Kubota |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Airway emergency Case Report Plastic bronchitis 030204 cardiovascular system & hematology Tracheal tube lcsh:RD78.3-87.3 03 medical and health sciences 0302 clinical medicine Fontan surgery Anesthesiology medicine Extracorporeal membrane oxygenation Lymphatic embolization Mechanical ventilation business.industry Tracheal intubation lcsh:Medical emergencies. Critical care. Intensive care. First aid lcsh:RC86-88.9 Airway obstruction respiratory system medicine.disease Surgery Anesthesiology and Pain Medicine 030228 respiratory system Respiratory failure lcsh:Anesthesiology Anesthesia Airway business |
| Zdroj: | JA Clinical Reports JA Clinical Reports, Vol 6, Iss 1, Pp 1-4 (2020) |
| ISSN: | 2363-9024 |
| Popis: | Background Plastic bronchitis (PB) is a complication of Fontan surgery, results in the formation of mucus plug in the tracheobronchial tree, causing potentially fatal airway obstruction. We report critical airway emergency during general anesthesia in a child with plastic bronchitis. Case presentation A 5-year-old boy was scheduled for intrapulmonary lymphatic embolization through percutaneous catheterization under general anesthesia. He underwent Fontan surgery at the age of 2 and frequently developed respiratory failure due to plastic bronchitis. After induction of general anesthesia and tracheal intubation, mechanical ventilation became difficult even with an inspiratory pressure ≥ 50 mmHg due to airway obstruction. He expectorated a large mucus plug through the tracheal tube after administration of sugammadex, naloxone, and flumazenil, and respiratory condition was stabilized thereafter. Conclusion General anesthesia for a patient with plastic bronchitis should be planned with extracorporeal membrane oxygenation or cardiopulmonary bypass stand by. |
| Databáze: | OpenAIRE |
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