Anesthetic management in a 2 yr old child with lymphangioma of tongue posted for wedge resection
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH - Year 2016, Vol 8, Issue 12
Abstract
The American Society of Anaesthesiologists (ASA) defined a difficult airway as “The clinical situation in which a conventionally trained anaesthesiologist experiences difficulty with mask ventilation, difficulty with tracheal intubation or both”. Lymphangiomas are the most common etiology of macroglossia in children. A 2 yr old female weighing 10 kg presented to paediatric surgery department with complaints of tongue protrusion since 3 months.Local examination showed non tender diffusely large tongue, protruding and keeping the mouth permanently open. Investigations revealed low Hb of 8.13 gm%, platelet count of 6.4 lac. Premedication was given in form of injglycopyrrolate 0.04mg, inj fentanyl 20 mcg, injEmset 0.2 mg. The child was first intubated orally then nasal RAE no. 4.0 uncuffed tube inserted after removal of oral endotracheal tube. The patient was successfully extubated with stable vitals. Anaesthetic management of lymapangioma of tongue is a real challenge to anaesthesiologist. The importance of a thorough preoperative evaluation, attention to difficult intubation and maintenance of airway should be emphasized.
Authors and Affiliations
Dr. Siddharth Sisodia, Dr. Shakuntala Goswami and Dr. B. J. Shah
Keywords
Related Articles
- EP ID EP405095
- DOI -
- Views 135
- Downloads 0
Single file niti rotary systems: simple approach to root canal
Biomechanical preparation is a very essential step for successful endodontic treatment, which removes the root canal debries and disinfect the root canal. Practitioner will be able to achieve this aim easily with nickel...
Overzealous use of electrocauty for gıngıval depıgmentatıon
Electrosurgeries are performed routinely in clinical dentistry, and it has a great relevance to general dentists as it provides a bloodless field while performing the gingivectomy, gingivoplasty, crown lengthening, frene...
About cases of occupational allergies detected in workers followed by the service of medicine of work of chu tlemcen
Allergic manifestations in the workplace, including allergic contact dermatitis, are increasingly common. In addition, the association between skin and respiratory allergy is little reported in the literature. We study t...
A systematic review of analysis of fracture patterns in maxillofacial assault related injuries in the indian sub-continent and south-east asia
Maxillofacial assault related injuries are an etiological important factor in fracture of facial bones. Here we have carried out a systematic review of analysis of fracture patterns in maxillofacial assault related injur...
Pregnancy Complicating Patent Ductus Arteriosus With Eisenmenger Syndrome
Congenital heart disease (CHD) is associated with significant morbidity and mortality in pregnancy (Whittemore et al., 1982 and Shime et al., 1987). Congenital heart disease in pregnancy is associated with reduced cardi...