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 132
- Downloads 0
Assessment of effective vaccine management tools in fixed immunization sites at east darfur sudan- 2014.”, International Journal of Current Research
This was a descriptive cross-sectional facility based study, conducted in Northern state; the assessment was conducted during 2010. Total coverage of all working EPI fixed sites in the state in addition to all Localitie...
Isolated Fundal Diverticula: A Case Report
Gastric diverticula are rare in routine clinical practice. Diverticula are out-pouching from tubular structures. True diverticula involve all layers of the intestinal wall, whereas false diverticula are caused by herniat...
Homology modeling of salmonella typhimurium crp protein
Understanding protein modeling is key to protein structure analysis. The current research includes crp salmonella typhimurium protein for modeling. The main criteria in model generation is generation of model based on av...
A comparative study of physiological cost index in cp and normal children on two different surfaces
To compare energy expenditure of ambulation on even indoor and uneven outdoor surface in CP children as well as between CP and asymptomatic children. Objective: To find out and compare physiological cost index on even i...
Isolated skeletal muscle metastasis after successful treatment of carcinoma larynx: a rare occurrence
Skeletal muscle metastasis from the squamous cell carcinoma of larynx is very rare. Distant metastasis in squamous cell carcinoma most commonly involve the lungs, liver and bone. We report here on a patient who was diagn...