Less traumatic method of inserting nasoendotracheal tube in children

surfactant, umbilical arterial and venous lines were placed. The venous gas blood analysis revealed pH = 7.1, PCO 2 = 58 mmHg, PO 2 = 27 mmHg, and HCO 3 = 17 mEqAEl )1 . No additional anomalies were identified. The mass was excised and the tongue was closed without significant deformity. Histological examination revealed a teratoma. But the baby died shortly after the operation. Autopsy examination has not been done. We suggest there might be a hypoxic brain damage or intraventricular hemorraghe and in the overall clinical context, the reason of mortality could be perinatal asphyxia, major congenital malformation and immaturity.Masses in the oral cavity necessitate critical and prompt management of the upper airway obstruction in the delivery room. As most cases are not amenable to endotracheal intubation, establishment of the airway at delivery and preserving thereafter often achieved by bronchoscope guided intubation or tracheotomy (2).Prenatal diagnosis and emergent airway establishment, multidisciplinary team management and coordinated care are essential. Ideally the baby should be delivered via elective cesarian section and until the airway was secured oxygenation should be maintained by placental circulation (3). As in our case attempted oral or nasal endotracheal intubation could be life saving when an unplanned emergent delivery of a very tiny baby occurred.B eg u m At as a y* Saad et Arsan* Emel Okulu* I lk e M u n g an Akin* Aydi n Yagmurlu † T o m r i s T u rm en*

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Less traumatic method of inserting nasoendotracheal tube in children

Cited by 3 publications

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