Shridevi Pandya Shah
Rutgers University, USA
Title: Anesthetic challenges when an elective case becomes emergent
Biography
Biography: Shridevi Pandya Shah
Abstract
A difficult airway management situation was presented by an eight-week-old infant who presented with a bleeding orbital tumor. Th e infant also had a not yet diagnosed inherited trisomy 15 with facial abnormalities and an upper respiratory tract infection that made the face-mask ventilation and tracheal intubation more challenging. The urgent need for the surgery precluded any further work-up and optimization. Anesthetic challenges included difficult mask ventilation, difficult endotracheal intubation, extremely reactive airway and very labile hemo-dynamics during induction. An Air-Q laryngeal mask airway was used as a rescue airway device and as a portal for endo-tracheal tube placement during the anesthetic management with good outcome.