Giant oral tumor in a child with malnutrition and sickle cell trait: Anesthetic challenges

Singh, Preet Mohinder; Borle, Anuradha; Trikha, Anjan

doi:10.4103/0970-9185.117107

Cited by 4 publications

(3 citation statements)

References 13 publications

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“…Securing the airway in an awake child is not a very practical option. 1,2 Another approach that has been tried with limited success for awake intubation in the pediatric patient is the use of videolaryngoscopes. 3 However, a prerequisite of successful video laryngoscopy is the presence of adequate mouth opening.…”

Section: Discussionmentioning

confidence: 99%

Sevoflurane-Based General Anesthesia Induction via Nasopharyngeal Endotracheal Tube Prior to Definitive Airway Control in Pediatric Oral Tumors

Singh

Rajeshwari

Borle

et al. 2015

Anesthesia Progress

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Airway-related tumors in pediatrics are always challenging for anesthesiologists. We present 2 cases of friable, bleeding large tumors in the oral cavity where conventional methods of securing the airway were not possible. Induction of general anesthesia could potentially lead to complete airway collapse and catastrophic obstruction in such cases. Awake fibrotic intubation is limited in pediatric patients. We describe the innovative use of an endotracheal tube inserted blindly as a nasopharyngeal airway guided by end-tidal carbon dioxide trace. This allowed us to bypass the anatomical obstruction and induce anesthesia using sevoflurane in high-flow oxygen. By the described technique, we were able to maintain and assist the spontaneous breathing of the child as well. We also highlight limitations of the use of a conventional nasopharyngeal airway in such situations.

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Section: Discussionmentioning

confidence: 99%

Sevoflurane-Based General Anesthesia Induction via Nasopharyngeal Endotracheal Tube Prior to Definitive Airway Control in Pediatric Oral Tumors

Singh

Rajeshwari

Borle

et al. 2015

Anesthesia Progress

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“…Standard anesthesia monitors were attached to the patient in the operating room. Video laryngoscope-assisted orotracheal intubation under general anesthesia with maintenance of spontaneous respiration was planned, considering the anticipated difficulty of the airway [ 5 6 7 8 ]. The child was pre-oxygenated with 100% oxygen for 3 min.…”

Section: Case Reportmentioning

confidence: 99%

Anesthetic management of a large mandibular odontogenic myxoma in a child – a case report

Kuttan,

Padala,

Vinay

et al. 2024

J Dent Anesth Pain Med

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Numerous neoplastic lesions can arise in the orofacial region in the pediatric populations. Odontogenic tumors typically affect the mandible more than the maxilla. Airway management can be challenging in pediatric oral tumors because of the distorted anatomy and physiological variations. Conventional awake fiberoptic intubation is not always possible owing to limited cooperation from the pediatric populations. Herein, we report the case of a 1-year-old child with odontogenic myxoma of the mandible and an anticipated difficult airway. Given the expected difficulties in the airway, video laryngoscope-assisted orotracheal intubation under general anesthesia with maintenance of spontaneous breathing was scheduled. Proper planning and thorough examinations are vital for successful airway management in pediatric patients.

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“…In a study to evaluate the benefits and safety of early versus late tracheostomy in traumatic spinal cord injury patients requiring mechanical ventilation, Romero et al .,[ 53 ] found that early tracheostomy following short orotracheal intubation is beneficial. It was found that early placement (before day 7 of mechanical ventilation) offers advantages for shortening of mechanical ventilation coupled with reducing ICU stay and lowering rates of complications, such as tracheal granulomas and concentric tracheal stenosis.…”

Section: Review Of Literaturementioning

confidence: 99%

Intubations and airway management: An overview of Hassles through third millennium

Alanazi¹

2015

J Emerg Trauma Shock

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Background:The placement of a tube into a patient's trachea “the intubation” as we call is not as simple as it looks. It is a very tricky and tedious maneuver that entails skills to assess and perform. Nevertheless, often this is left to the chores of inefficient hands due to a paucity of the availability of experts. They seldom are able to complete the task and often wind up calling the attention of the unit. The present review is an attempt to describe the need to undertake intubation, the procedures and techniques, the complications, including morbidity and mortality and airway management. This overview includes explicit descriptions of the difficult airway which represents multifaceted interface amid patient factors, clinical setting, and skills of the practitioner.Materials and Methods:To accomplish the target, peer-reviewed English language articles published during third millennium up to 2013 were selected from Pub Med, Pub Med Central, Science Direct, Up-to-date, Med Line, comprehensive databases, Cochrane library, and the Internet (Google, Yahoo).Review of Literature:The review constituted a systematic search of literature on the requirements that necessitate the practice of intubation, different techniques that facilitate easy conduct of procedure, the complications, including, morbidity and mortality, and the airway management.Conclusion:Recording every single detail has been beyond the scope of this review, however; some aspects have been wrapped up in nutshell. Some areas of the review are too basic which the medics are well aware of and knowledgeable. Nevertheless, these are difficult to be dispensed with in consideration of their source to the awareness of a common man and a great majority of the patients.

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Giant oral tumor in a child with malnutrition and sickle cell trait: Anesthetic challenges

Cited by 4 publications

References 13 publications

Sevoflurane-Based General Anesthesia Induction via Nasopharyngeal Endotracheal Tube Prior to Definitive Airway Control in Pediatric Oral Tumors

Sevoflurane-Based General Anesthesia Induction via Nasopharyngeal Endotracheal Tube Prior to Definitive Airway Control in Pediatric Oral Tumors

Anesthetic management of a large mandibular odontogenic myxoma in a child – a case report

Intubations and airway management: An overview of Hassles through third millennium

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