Intraoperative anesthetic management of an infant with a bridging bronchus: A case report

Summary A newborn infant was diagnosed with an imperforate anus, and colostomy was performed one day after birth. He exhibited repeated episodes of poor oxygenation during intubation, and a CT scan revealed a bridging bronchus. He was scheduled to undergo sacroperineal repair in the prone position 8...

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Bibliographic Details
Published in:Pediatric anesthesia 2018-09, Vol.28 (9), p.815-816
Main Authors: Shakuo, Tomoharu, Oe, Katsunori, Shimura, Yuko, Awakura, Hanae, Yamada, Arata
Format: Article
Language:English
Subjects:
airway management
bridging bronchus
bronchial anomaly
Case reports
imperforate anus
infant
modified tracheal tube
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Summary:Summary A newborn infant was diagnosed with an imperforate anus, and colostomy was performed one day after birth. He exhibited repeated episodes of poor oxygenation during intubation, and a CT scan revealed a bridging bronchus. He was scheduled to undergo sacroperineal repair in the prone position 8 months later. A tracheal tube, with its tip modified to widen the opening, was inserted through the nose. This led to normal oxygenation, even while in the prone position. The surgery was completed without any complications.
ISSN:1155-5645
1460-9592
DOI:10.1111/pan.13451