Turkish Journal of Anaesthesiology & Reanimation
CASE REPORT

Anesthetic Management of Two Micropreemies With Difficult Airway: Case Report And Review Of Literature

1.

Department of Anesthesiology, Pain Medicine and Critical care, AIIMS, New Delhi

2.

Department of Onco-Anesthesiology and Palliative Medicine, DRBRAIRCH, AIIMS, Delhi, India

3.

Department of Anesthesiology, VMMC and Safdarjung hospital, New Delhi, India

Turk J Anaesthesiol Reanim 1; 1: -
DOI: 10.5152/TJAR.2021.21180
Read: 237 Downloads: 167 Published: 24 August 2021

The infants are explicitly vulnerable to develop anesthesia related complications, with micropreemies being at the end of the spectrum because of their unique morphological and physiological features. Airway changes of paediatric patients are most exaggerated in these tiny infants and their immature lungs provide little reserve and therefore, securing airway can be challenging in this population. Moreover, many devices available for managing difficult airway in adults are not available for use in this miniature version. Videolaryngosocpes (VLs) are a useful addition to anesthesiologists’ armamentarium but for micropreemies, size of VL can be a limiting factor as no VL comes in ‘00’ size. The technique of VL may need to be modified in these patients. Regional anesthesia can be an invaluable component of their perioperative care to facilitate a smooth recovery. The successful management of these vulnerable neonates requires a multidisciplinary team approach to maintain perioperative homeostasis of their immature organ systems.

Cite this article as: Gupta A, Gupta N, Singh P, Girdhar KK. Anesthetic Management of Two Micropreemies With Difficult Airway: Case Report And Review Of Literature. Turk J Anaesthesiol Reanim. 2021; doi: 10.5152/TJAR.2021.21180

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