Anesthesia management in a child with laryngeal papilloma causing near complete airway obstruction

Recurrent respiratory papillomatosis (RRP) is a rare, chronic disease of viral etiology affecting most commonly larynx. A 5-year-old child with stridor was posted for microlaryngoscopic excision of laryngeal papilloma. We discuss the perioperative management of case with the various ventilation stra...

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Published inSaudi journal of anaesthesia Vol. 9; no. 1; pp. 86 - 88
Main Authors Harshad, Parate Leena, Pujari, Vinayak, Channappa, Nagaraj Mungasuvalli, Anandaswamy, Tejesh Channasandra
Format Journal Article
LanguageEnglish
Published India Medknow Publications and Media Pvt. Ltd 01.01.2015
Medknow Publications & Media Pvt. Ltd
Medknow Publications & Media Pvt Ltd
Wolters Kluwer Medknow Publications
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Summary:Recurrent respiratory papillomatosis (RRP) is a rare, chronic disease of viral etiology affecting most commonly larynx. A 5-year-old child with stridor was posted for microlaryngoscopic excision of laryngeal papilloma. We discuss the perioperative management of case with the various ventilation strategies. In child with stridor intubation remains the safest option. It is suggested to maintain spontaneous ventilation until intubation as mask ventilation could be difficult.
ISSN:1658-354X
0975-3125
DOI:10.4103/1658-354X.146322