Anesthetic management of difficult paediatric airway in a case of large facial Neurofibromatosis – A case report

Jyoti Nara, Naveen Yalla
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Abstract

Neurofibromatosis is tumor involving different parts of the body. Neurofibromatosis may potentially lead to difficult airway. These challenging cases need special considerations. Various anesthetic techniques and devices are described to secure the airway. In the present case we intubated a 11-year-old child with large left side facial tumor extending to the neck which had intraoral encroachment displacing the tongue and pharynx to the right. This is a case report illustrating intubation of difficult pediatrics airway using awake bronchoscopic intubation under conscious sedation.
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大面部神经纤维瘤病例中儿科困难气道的麻醉处理 - 病例报告
神经纤维瘤病是一种涉及身体不同部位的肿瘤。神经纤维瘤病可能会导致呼吸困难。这些具有挑战性的病例需要特别考虑。为确保气道安全,我们介绍了各种麻醉技术和设备。在本病例中,我们为一名 11 岁儿童进行了插管治疗,该患儿左侧面部巨大肿瘤延伸至颈部,口腔内肿瘤侵犯导致舌头和咽部向右侧移位。本病例报告说明了在清醒镇静状态下使用清醒支气管镜插管治疗儿科困难气道的情况。
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