Post-intubation tension pneumothorax and pneumoperitoneum in a low birth weight neonate with giant epulis
نویسندگان
چکیده
Congenital epulis is a benign soft‐tissue lesion of the alveolar mucosa. It may be sessile or pedunculated and vary in size from several millimetres to a few centimetres.[1,2] Surgical excision is the treatment of choice. The most important aspect of pre‐anaesthetic evaluation is assessment for difficult airway. Literature on the anaesthetic management of neonates with congenital epulis is limited to a few isolated case reports.[3,4] We discuss the development of post‐intubation tension pneumothorax and pneumoperitoneum in a neonate with an anticipated difficult airway due to an intra‐oral giant epulis.
منابع مشابه
Development of pulmonary air leak in an extremely-low-birth-weight infant without mechanical ventilation: a case report
A 34-year-old woman at 25 weeks 3 days was diagnosed with preterm labor and underwent an emergency cesarean section. The neonate did not cry or show any activity. The heart rate was 80 beats/min and the oxygen saturation on pulse oximetry (SpO2) was 77%. Immediately, positive pressure ventilation was delivered by T piece resuscitator, and then anesthesiologist performed endotracheal intubation....
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1. Cheong SP, Fahy CJ, Craigie MJ. Anaesthesia for excision of an intraoral mass in a neonate: Use of a laryngeal mask during removal of congenital epulis. Anaesth Intensive Care 2008;36:116‐8. 2. Kapoor MC, Rangachari V. Airway management in neonates and infants with congenital airway lesions. J Anaesthesiol Clin Pharmacol 2012;28:285‐6. 3. Brimacombe J. Use of the laryngeal mask airway in ver...
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Tension pneumothorax is not a rare complication of mechanical ventilation, but its occurrence immediately after intubation with a double-lumen endotracheal tube (DLT) is very rare. Subsequent impairment of the respiratory and cardiovascular function can be life threatening if it is not detected early enough and managed properly. Most reported cases of tension pneumothorax during DLT intubation ...
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