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Anaesthetic management of a child with multiple congenital anomalies scheduled for cataract extraction.
MedLine Citation:
PMID:  20640097     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
SUMMARY: In infants & children variety of conditions and syndromes are associated with difficult Airway. Anaesthetic management becomes a challenge if it remains unrecognized until induction and sometimes results in disaster, leading to oropharyngeal trauma, laryngeal oedema, cardiovascular & neurological complications. A 4-month-old child with multiple congenital anomalies was posted for cataract extraction for early and better development of vision. He had history of post birth respiratory distress, difficulty in feeding, breath holding with delayed mile stones. He was treated as for Juvenile asthma. This child was induced with inhalation anaesthesia. There was difficulty in laryngoscopic intubation and could pass much smaller size of the tube than predicted. He developed post operative stridor and desaturation. The problems which we faced during the anaesthetic management and during postoperative period are discussed with this case.
Authors:
Kalpana Kulkarni; Sunetra Deshpande; Ismail Namazi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of anaesthesia     Volume:  53     ISSN:  0976-2817     ISO Abbreviation:  Indian J Anaesth     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-07-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0013243     Medline TA:  Indian J Anaesth     Country:  India    
Other Details:
Languages:  eng     Pagination:  683-7     Citation Subset:  -    
Affiliation:
Asso. Prof, Department of Anesthesiology, Dr.D.Y.Patil Medical College , Kadamwadi, Kolhapur, Maharashtra.
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