Anesthetic Management of Congenital Esophageal Atresia with Tracheomalacia Using Laryngeal Mask Airway
術前に声門下狭窄・喉頭気管裂の合併が診断できなかったため気道確保に難渋したC型食道閉鎖症の麻酔経験

Hiromi SHINOZAKI, Miwako NAKAO, Yuka SAKURAI, Hideo UNETANI, Hiromi KUROKAWA, Nobuyoshi SATO
2013 THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA  
We present a case of congenital esophageal atresia associated with subglottic stenosis in a newborn infant. On the day of birth, a gastrostomy was planned under general anesthesia. Following induction, mask ventilation was possible, though airway management was difficult during intubation and respiratory care was converted to a laryngeal mask airway prior to the end of the operation. However, respiratory state remained unstabilized, so a tracheostomy was performed the next day. Prior to that
more » ... cedure, subglottic stenosis was shown by bronchofiberscope and 3D computed tomography findings. During the tracheostomy, respiratory management was performed with a laryngeal mask airway. Although tracheomalacia also emerged and management with a tracheostomy tube was troublesome, after stabilizing the respiratory condition a radical operation was performed at 85 days of age.
doi:10.2199/jjsca.33.247 fatcat:6vpf7jpioba3djymp2li4g5lbu