Management of Anesthesia under Extracorporeal Cardiopulmonar
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Abstract :
A 4-month-old female infant who weighed 3.57?kg with severe subglottic stenosis underwent tracheostomy under extracorporeal cardiopulmonary support. First, we set up extracorporeal cardiopulmonary support to the infant and then successfully intubated an endotracheal tube with a 2.5?mm inner diameter before tracheostomy by otolaryngologists. Extracorporeal cardiopulmonary support is an alternative for maintenance of oxygenation in difficult airway management in infants.

Case :
A 4-month-old female infant, who weighed 3.57?kg and was 54.6?cm in height, was hospitalized because of the diagnosis of severe subglottic stenosis. At birth, she was diagnosed with 22q11.2 deletion syndrome with multiple anomalies, including thymic aplasia, aortic arch interruption, ventricular septal defect, atrial septal defect, and subvalvular aortic stenosis. Eight days after birth, when she weighed 2.77?kg and was 46?cm in height, she had surgery of the right pulmonary artery banding under general anesthesia. This anesthesia management allowed easy intubation (Cormack-Lehane Grade I) with a cuffed endotracheal tube (3.0?mm inner diameter (ID)). She was extubated at the pediatric intensive care unit (PICU) without any complications the next day after surgery........

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4775790/
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