Anesthetic management of inguinal hernia in an ex-premature infant with subglottic stenosis: a case report

JA Clinical Reports

Case Report

Satoshi Ekuni¹  Yumi Doi² 

[1] Department of Anesthesia, Takatsuki General Hospital, 1-3-13 Kosobe-Cho, 5691192, Takatsuki, Osaka, Japan;Department of Anesthesia, Takatsuki General Hospital, 1-3-13 Kosobe-Cho, 5691192, Takatsuki, Osaka, Japan;Pediatric Perioperative Center, Takatsuki General Hospital, 1-3-13 Kosobe-Cho, 5691192, Takatsuki, Osaka, Japan;

关键词: Subglottic stenosis;    Inguinal hernia;    Regional anesthesia;    Treatment strategy;    Rigid bronchoscopy;    Spontaneous respiration;   

DOI  :  10.1186/s40981-023-00652-6

 received in 2023-07-20, accepted in 2023-09-06,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundWe report the anesthetic management of inguinal hernia repair for an infant with subglottic stenosis. A previously scheduled operation had been cancelled due to unexpected airway trouble during the induction.Case presentationA boy was born at 24 weeks of gestation and his trachea was intubated for 45 days. At 16 months old, surgery for inguinal hernia was planned, but cancelled due to unexpected narrow airway, and subglottic stenosis was first suspected. At 17 months old, he was transferred to us for inguinal hernia surgery. After careful discussion between the surgical team and the anesthesiologists, a strategy to manage this patient was developed. He underwent open hernia surgery under spinal anesthesia and diagnostic rigid bronchoscopy under tubeless general anesthesia separately, which revealed low-grade stenosis and some subglottic cysts. The postoperative course was uneventful.ConclusionInterdepartmental discussion weighing risks and benefits may deduce the safest and most appropriate anesthesia method.

【 授权许可】

CC BY   
© The Japanese Society of Anesthesiologists 2023

【 图 表 】

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