doiSerbia

Laryngeal mask airway as the only choice for primary airway control in newborn with tracheal stenosis

Drašković Biljana (Klinika za dečju hirurgiju, Institut za zdravstvenu zaštitu dece i omladine Vojvodine, Novi Sad)
Uram-Benka Anna (Klinika za dečju hirurgiju, Institut za zdravstvenu zaštitu dece i omladine Vojvodine, Novi Sad)
Kljajić Vladimir (Klinika za bolesti uva, grla i nosa, Klinički centar Vojvodine, Novi Sad)

Congenital tracheal stenosis is a rare disorder characterized by the presence of focal or diffuse complete tracheal cartilage rings, resulting in a fixed tracheal narrowing. The prognosis for this disorder is currently assumed to be poor, with some sources stating that the natural outcome of this problem is inevitably fatal. tracheal stenosis requires a tracheostomy at delivery for the infant to survive before the definitive reconstruction. The laryngeal mask airway is the most commonly used airway device in pediatric anesthesia as well as the primary airway control during the resuscitation. We present a premature infant with congenital tracheal stenosis, in whom the airway could be controlled only by the laringeal mask. In this case the laryngeal mask airway was a life saving device for the airway control in the period before tracheostomy was done. Tracheostomy was made in first few hours after birth. In severe tracheal stenosis the laryngeal mask airway can be a device of choice for the initial control of the airway. .

Keywords: laryngeal masks, infant, premature, tracheal stenosis, airway obstruction, airway resistance, tracheostomy, anesthesiology