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 in | Saudi journal of anaesthesia Vol. 9; no. 1; pp. 86 - 88 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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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Abstract | 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. |
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AbstractList | 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. |
Audience | Academic |
Author | Channappa, Nagaraj Mungasuvalli Pujari, Vinayak Anandaswamy, Tejesh Channasandra Harshad, Parate Leena |
AuthorAffiliation | Department of Anesthesia, M S Ramaiah Medical College, Bengaluru, Karnataka, India |
AuthorAffiliation_xml | – name: Department of Anesthesia, M S Ramaiah Medical College, Bengaluru, Karnataka, India |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25558205$$D View this record in MEDLINE/PubMed |
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Cites_doi | 10.1046/j.1460-9592.1998.00758.x |
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Keywords | Anesthesia stridor laryngeal papilloma |
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References | Cohen (key-10.4103/1658-354X.146322-5) 1980 Zacharisen (key-10.4103/1658-354X.146322-8) 2006 Derkay (key-10.4103/1658-354X.146322-2) 2008 Bo (key-10.4103/1658-354X.146322-3) 2011 Andrus (key-10.4103/1658-354X.146322-1) 2006 Miyawaki (key-10.4103/1658-354X.146322-7) 2003 Crastnopol (key-10.4103/1658-354X.146322-4) 1967 key-10.4103/1658-354X.146322-9 Li (key-10.4103/1658-354X.146322-6) 2010 |
References_xml | – start-page: 1236 volume-title: Recurrent respiratory papillomatosis: A review year: 2008 ident: key-10.4103/1658-354X.146322-2 publication-title: Laryngoscope contributor: fullname: Derkay – start-page: 1166 volume-title: Resection of solitary tracheal papilloma using cardiopulmonary bypass year: 1967 ident: key-10.4103/1658-354X.146322-4 publication-title: N Y State J Med contributor: fullname: Crastnopol – ident: key-10.4103/1658-354X.146322-9 doi: 10.1046/j.1460-9592.1998.00758.x – start-page: 1084 volume-title: Airway management in pediatric patients undergoing suspension laryngoscopic surgery for severe laryngeal obstruction caused by papillomatosis year: 2010 ident: key-10.4103/1658-354X.146322-6 publication-title: Paediatr Anaesth contributor: fullname: Li – start-page: 1925 volume-title: Recurrent respiratory papillomatosis in children: Masquerader of common respiratory diseases year: 2006 ident: key-10.4103/1658-354X.146322-8 publication-title: Pediatrics contributor: fullname: Zacharisen – start-page: 1442 volume-title: Anesthesia management in pediatric patients with laryngeal papillomatosis undergoing suspension laryngoscopic surgery and a review of the literature year: 2011 ident: key-10.4103/1658-354X.146322-3 publication-title: Int J Pediatr Otorhinolaryngol contributor: fullname: Bo – start-page: 135 volume-title: Contemporary management of laryngeal papilloma in adults and children year: 2006 ident: key-10.4103/1658-354X.146322-1 publication-title: Otolaryngol Clin North Am contributor: fullname: Andrus – start-page: 363 volume-title: Subglottic jet ventilation for pediatric microlaryngosurgery: A case report year: 2003 ident: key-10.4103/1658-354X.146322-7 publication-title: J Clin Anesth contributor: fullname: Miyawaki – start-page: 497 volume-title: Papilloma of the larynx and tracheobronchial tree in children.A retrospective study year: 1980 ident: key-10.4103/1658-354X.146322-5 publication-title: Ann Otol Rhinol Laryngol contributor: fullname: Cohen |
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SubjectTerms | Airway management Anesthesia Blood pressure Case Report Children & youth Chronic illnesses Heart rate Hospitals Intubation laryngeal papilloma Ostomy stridor Ventilation |
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Title | Anesthesia management in a child with laryngeal papilloma causing near complete airway obstruction |
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