Anesthetic concerns in a huge congenital sublingual swelling obscuring airway access

Anesthetic concerns in a huge congenital sublingual swelling obscuring airway access

Blog Article

Presence of intraoral pathology poses a great challenge during management of pediatric airway.We report management of big laubade 1973 intraoral cystic swelling physically occupying the entire oral cavity restricting access to airway.Preintubation aspiration of swelling was done to decrease its size and make room for airway manipulation, followed by laryngoscopy and k4 basic wheelchair intubation in lateral position.

Airway patency is at risk in postoperative period also, in this case, though the swelling decreased in size postoperatively but presence of significant edema required placement of tongue stitch and modified nasopharyngeal airway.Case report highlights simple maneuvers to manage a difficult case.