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Colombian Journal of Anestesiology
Print version ISSN 0120-3347
Abstract
PAEZ L, John Jairo and NAVARRO-VARGAS, José Ricardo. The use of laryngeal mask in an infant with subglottic stenosis - Case report and literature review. Rev. colomb. anestesiol. [online]. 2013, vol.41, n.2, pp.150-154. ISSN 0120-3347. https://doi.org/10.1016/j.rca.2013.03.006.
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.
Keywords : Airway Management; Anesthesia; General; Infant; Newborn; Fistula.