Abstract
The perioperative management of a neonate with a type IV laryngotracheo-oesophageal cleft and exomphalos major is described. Following an otherwise uncomplicated exomphalos repair, this baby became increasingly and inexplicably difficult to ventilate through an endotracheal tube. The emergency use of a laryngeal mask airway as a rescue maneuver allowed positive pressure ventilation, and subsequent diagnosis of the airway abnormality. The difficulties in management of the two co-existing conditions are discussed.
MeSH terms
-
Abnormalities, Multiple
-
Acidosis, Respiratory / etiology
-
Acidosis, Respiratory / surgery
-
Airway Obstruction / etiology
-
Airway Obstruction / surgery
-
Bradycardia / etiology
-
Bradycardia / surgery
-
Emergency Medical Services / methods*
-
Esophagus / abnormalities*
-
Hernia, Umbilical / complications
-
Hernia, Umbilical / surgery
-
High-Frequency Ventilation / methods
-
Humans
-
Infant, Newborn
-
Intubation, Intratracheal
-
Laryngeal Masks*
-
Larynx / abnormalities*
-
Male
-
Positive-Pressure Respiration / methods
-
Rare Diseases
-
Respiration, Artificial / methods
-
Trachea / abnormalities*
-
Tracheoesophageal Fistula / complications*
-
Tracheoesophageal Fistula / surgery
-
Tracheostomy