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INTERNATIONAL JOURNAL OF PHARMACEUTICAL RESEARCH

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IJPR included in UGC-Approved List of Journals - Ref. No. is SL. No. 4812 & J. No. 63703

Published by : Advanced Scientific Research
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0975-2366
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IJPR 9[3] July - September 2017 Special Issue

July - September 9[3] 2017

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Anesthetic Management of Various Conditions Associated with Difficult Airway in Pediatric Patients – A Case Series

Author: DR.TRISHNA PRADEEP, DR.PRIYANKA MAHANTA, DR.SHAILA S.KAMATH, DR.HIMA R.NAMBIAR
Abstract: Introduction: The management of pediatric airway is of great challenge, especially when associated with congenital anomalies or acquired conditions like aspiration or tracheal stenosis. Cases: We present a case series of various conditions associated with anticipated difficult airway in pediatrics: An infant with Dandy-Walker syndrome and hydrocephalus, a toddler with history suggestive of foreign body aspiration 15 days back, and another infant presenting with post-intubation subglottic stenosis. Discussion: This case series describes the implications of various airway related challenges in pediatric patients whether congenital or acquired. Providing anesthetic care to infants adds to the risks as there are wide variations in anatomy, physiology and pharmacology when compared to older children. Therefore thorough pre-anesthetic evaluation of such patients is mandatory with special focus on airway examination. Conclusion: Considering the complexity of pediatric airway and associated anomalies, difficult airway should be anticipated in pediatric patients. Preparedness for the same along with optimal positioning increases the chances of successful intubation and reduces procedural complications.
Keyword: Pediatric airway, difficult airway, occipital swelling, Dandy-Walker syndrome, foreign body aspiration, subglottic stenosis.
DOI: https://doi.org/10.31838/ijpr/2021.13.02.221
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