The use of laryngeal mask in an infant with subglottic stenosis - Case report and literature review
Keywords:
Airway, Management, Anesthesia, General Infant, Newborn, Fistula
Abstract
The laryngeal mask has become an alternative to manage the pediatric airway. This is a clinical case of an infant with VACTERL association requiring anesthesia for tracheoesophageal fistula closure and esophageal anastomosis; the infant was successfully managed with laryngeal mask upon failed intubation.
The use of the laryngeal mask is an option for the management of the airway in neonates and infants with craniofacial malformations, either alone or as an adjuvant for tracheal intubation and also in neonates with normal airway for complex surgeries, including heart surgery. The evidence points to the use of second-generation devices that allow for an improved airway seal and suction of the GI tract (Proseal® or Supreme®). It is also an alternate device during neonatal resuscitation in patients over 2000 g that cannot be properly managed with a face mask or intubated.
References
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22. Grein AJ,Weiner GM. Laryngeal mask airway versus bag-mask ventilation or endotracheal intubation for neonatal resuscitation. Cochrane Database Syst Rev. 2005;2: CD003314.
23. Kattwinkel J, Perlman JM, Aziz K, Colby C, Fairchild K, Gallagher J, et al. Part 15: Neonatal resuscitation: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010;122 18 Suppl 3:S909-19.
24. Richmond S, Wyllie J. European Resuscitation Council Guidelines for Resuscitation 2010 Section 7. Resuscitation of babies at birth. Resuscitation. 2010;81:1389-99.
25. Trevisanuto D, Grazzina N, Ferrarese P, Micaglio M, Verghese C, Zanardo V. Laryngeal mask airway used as a delivery conduit for the administration of surfactant to preterm infants with respiratory distress syndrome. Biol Neonate. 2005;87:217-20.
26. Abdel-Latif ME, Osborn DA. Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants with or at risk of respiratory distress syndrome. Cochrane Database Syst Rev. 2011;7:CD008309.
27. Micaglio M, Zanardo V, Ori C, Parotto M, Doglioni N, Trevisanuto D. Proseal LMA for surfactant administration. Paediatr Anaesth. 2008;18:91-2.
2. Hernandez MR, Klock Jr PA, Ovassapian A. Evolution of the extraglottic airway: A review of its history, applications, and practical tips for success. Anesth Analg. 2012;11:349-68.
3. Micaglio M, Parotto M, Trevisanuto D, Zanardo V. Size 1 ProSeal laryngeal mask airway in neonates. Anesth Analg. 2006;103:1044-5.
4. Peterson SJ, Byrne PJ, Molesky MG, Seal RF, Finucane BT. Neonatal resuscitation using the laryngeal mask airway. Anesthesiology. 1994;80:1248-53.
5. Brimacombe J, Gandini D. The laryngeal mask airway: Potential application in neonatal health care. J Obstet Gynecol Neonatal Nurs. 1997;26:171-8.
6. Trevisanuto D, Micaglio M, Ferrarese P, Zanardo V. The laryngeal mask airway: Potential applications in neonates. Arch Dis Child Fetal Neonatal Ed. 2004;89:F485-9.
7. Brimacombe J. The advantages of the LMA over the tracheal tube or facemask: A meta-analysis. Can J Anaesth. 1995;42:1017-23.
8. Asai T, Koga K, Vaughn RS. Respiratory complications associated with tracheal intubation and extubation. Br J Anaesth. 1998;80:767-75.
9. International guidelines for neonatal resuscitation: An excerpt from the guidelines 2000 for cardiopulmonary resuscitation and emergency cardiovascular care: International consensus on science. Pediatrics. 2000;106:1-16.
10. López Gil M, Mantilla I, Blanco T, Teigell E, Hervias M, Fernández López R. The size 1 Proseal laryngeal mask airway in infants: A randomized, noncrossover study with the classic T laryngeal mask airway. Paediatr Anaesth. 2012;22:365-70.
11. Trevisanuto D, Micaglio M, Pitton M, Magarotto M, Piva D, Zanardo V. Laryngeal mask airway: Is the management of neonates requiring positive pressure ventilation at birth changing? Resuscitation. 2004;62:151-7.
12. Grein AJ, Weiner GM. Vía aérea con mascarilla laríngea versus asistencia respiratoria con bolsa y mascarilla o intubación endotraqueal para la reanimación neonatal (Revisión Cochrane traducida). En: La Biblioteca Cochrane Plus, 2008. Número 2. Oxford: Update Software Ltd. Disponible en: http://www.update-software.com. (Traducida de The Cochrane Library, 2008 Issue 2. Chichester, UK: John Wiley & Sons, Ltd.). Fecha de la modificación significativa más reciente: 5 Dic 2004.
13. Baker PA, Aftimos S, Anderson BJ. Airway management during an EXIT procedure for a fetus with dysgnathia complex. Paediatr Anaesth. 2004;14:781-6.
14. Jayasekera N. Laryngeal mask for airway management in Treacher-Collins syndrome. Ceylon Med J. 2007;52:34.
15. Yao CT, Wang JN, Tai YT, Tsai TY, Wu JM. Successful management of a neonate with Pierre-Robin syndrome and severe upper airway obstruction by long term placement of a laryngeal mask airway. Resuscitation. 2004;61:97-9.
16. Leal-Pavey YR. Use of the LMA classic to secure the airway of a premature neonate with Smith-Lemli-Opitz syndrome: A case report. AANA J. 2004;72:427-30.
17. Asai T, Nagata A, Shingu K. Awake tracheal intubation through the laryngeal mask in neonates with upper airway obstruction. Paediatr Anaesth. 2008;18:77-80.
18. Gunenc F, Kuvaki B, Iyilikci L, Gokmen N, Yaman A, Gokel E. Use of laryngeal mask airway in anesthesia for treatment of retinopathy of prematurity. Saudi Med J. 2011;32:1127-32.
19. Micaglio M, Bonato R, de Nardin M, Parotto M, Trevisanuto D, Zanardo V, et al. Prospective, randomized comparison of ProSeal and classic laryngeal mask airways in anaesthetized neonates and infants. Br J Anaesth. 2009;103:263-7.
20. Trevisanuto D, Parotto M, Doglioni N, Ori C, Zanardo V, Micaglio M. The Supreme Laryngeal Mask AirwayTM (LMA): A new neonatal supraglottic device: Comparison with classic and ProSeal LMA in a manikin. Resuscitation. 2012;83:97-100.
21. Niermeyer S, Kattwinkel J, van Reempts P, Nadkarni V, Phillips B, Zideman D, et al. International Guidelines for Neonatal Resuscitation: An excerpt from the Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care: Internaional Consensus on Science. Contributors and Reviewers for the Neonatal Resuscitation Guidelines. Pediatrics. 2000;106:E29.
22. Grein AJ,Weiner GM. Laryngeal mask airway versus bag-mask ventilation or endotracheal intubation for neonatal resuscitation. Cochrane Database Syst Rev. 2005;2: CD003314.
23. Kattwinkel J, Perlman JM, Aziz K, Colby C, Fairchild K, Gallagher J, et al. Part 15: Neonatal resuscitation: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation. 2010;122 18 Suppl 3:S909-19.
24. Richmond S, Wyllie J. European Resuscitation Council Guidelines for Resuscitation 2010 Section 7. Resuscitation of babies at birth. Resuscitation. 2010;81:1389-99.
25. Trevisanuto D, Grazzina N, Ferrarese P, Micaglio M, Verghese C, Zanardo V. Laryngeal mask airway used as a delivery conduit for the administration of surfactant to preterm infants with respiratory distress syndrome. Biol Neonate. 2005;87:217-20.
26. Abdel-Latif ME, Osborn DA. Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants with or at risk of respiratory distress syndrome. Cochrane Database Syst Rev. 2011;7:CD008309.
27. Micaglio M, Zanardo V, Ori C, Parotto M, Doglioni N, Trevisanuto D. Proseal LMA for surfactant administration. Paediatr Anaesth. 2008;18:91-2.
How to Cite
1.
Páez L JJ, Navarro-Vargas JR. The use of laryngeal mask in an infant with subglottic stenosis - Case report and literature review. Colomb. J. Anesthesiol. [Internet]. 2013 Apr. 1 [cited 2024 Apr. 25];41(2):150-4. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/885
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Published
2013-04-01
How to Cite
1.
Páez L JJ, Navarro-Vargas JR. The use of laryngeal mask in an infant with subglottic stenosis - Case report and literature review. Colomb. J. Anesthesiol. [Internet]. 2013 Apr. 1 [cited 2024 Apr. 25];41(2):150-4. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/885
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Case Report / Case Series
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