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Pediatric Anesthesia
Anesthesia and Pain Medicine 2007;2(1):37-41.
Published online January 30, 2007.
An Experience of Anesthesia of Congenital Anomaly with Airway Involvement : 46 case report
Tae Joong Yoo, Sang Seok Lee, Byung Hoon Yoo, Seung Hoon Woo, Yeun Hee Lim, Woo Yong Lee
Department of Anesthesiology and Pain Medicine, Sanggye Paik Hospital, College of Medicine, Inje University, Seoul, Korea. sslee@sanggyepaik.ac.kr
Abstract
As the improved medical techniques and environmental changes have increased the frequency of general anesthesia for uncommon congenital anomalies. The airway management for a patient with congenital anomaly gives significant challenges to the anesthesiologist. The purpose of this report is to review the authors' experience with airway management and ventilatory support during the perioperative period in children with congenital anomalies with airway involvement, and to summarize anesthetic implications associated with particular congenital anomalies by literature review. Total 46 cases of general anesthesia for operation of congenital anomalies were performed from January 2000 to August 2005 in our hospital. Most common congenital anomaly is a Down syndrome (17 cases, 37%), and most common cause of surgery is the orthopedic surgery for correction of deformed spine (18 cases, 41%). Direct laryngoscopy was successfully used to establish an airway in 35 (76.1%) cases, whereas 5 (11%) cases required the use of fiberoptic bronchoscopy to establish an airway before surgery.
Key Words: airway, craniofacial abnormality, pediatric


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