A case of a syndromic preterm neonate in a “can ventilate, can’t intubate” condition: Guedel airway to the rescue!; Zastosowanie rurki Guedela u wcześniaka z zaburzeniami drożności górnych dróg oddechowych z powodu wrodzonej wady twarzoczaszki

Deol, Balinder Singh and Saniasiaya, Jeyasakthy and Kulasegarah, Jeyanthi (2022) A case of a syndromic preterm neonate in a “can ventilate, can’t intubate” condition: Guedel airway to the rescue!; Zastosowanie rurki Guedela u wcześniaka z zaburzeniami drożności górnych dróg oddechowych z powodu wrodzonej wady twarzoczaszki. Pediatria I Medycyna Rodzinna, 18 (4). 390 – 393. ISSN 1734-1531, DOI https://doi.org/10.15557/PiMR.2022.0059.

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Abstract

Introduction: Upper airway distress associated with craniofacial anomaly has been reported widely. An antenatal scan of craniofacial anomaly should alert the attending team to prepare for respiratory distress in any neonate following delivery. Additionally, a stepwise algorithm is imperative to manage the difficult airway in children with craniofacial anomalies. Aim: To outline a case of difficult airway in a newborn with a craniofacial anomaly. Case study: A premature neonate, born at 36 weeks, was referred to the otorhinolaryngology team following the failure of intubation. Guedel oropharyngeal airway was inserted, and temporarily airway was managed with non-invasive ventilation. However, tracheostomy was subsequently performed, while the neonate was ventilated via face mask. Discussion and conclusion: Prompt management is of dire importance in handling a newborn with craniofacial anomaly in respiratory distress. Guedel oropharyngeal airway is a temporary measure used to secure the airway, while tracheostomy is performed. © 2022 Deol et al.

Item Type: Article
Funders: UNSPECIFIED
Uncontrolled Keywords: Difficult airway; Guedel airway; Neonatal airway management; Tracheostomy; Upper airway obstruction
Subjects: R Medicine > RF Otorhinolaryngology
Divisions: Faculty of Medicine > Otorhinolaryngology Department
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 01 Dec 2023 00:43
Last Modified: 01 Dec 2023 00:43
URI: http://eprints.um.edu.my/id/eprint/44134

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