Two case reports of unexpected tracheal agenesis in the neonate: 3 C’s beyond algorithms for difficult airway management

BMC Pediatrics

Case Report

Georg Henze¹  Leopold Simma²  Beate Grass²  Vincenzo Cannizzaro²  Urs Zimmermann³  Claudine Gysin⁴  Michael Reinehr⁵ 

[1] Department of Anesthesia, University Children’s Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland;Children’s Research Center, University Children’s Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland;Department of Intensive Care Medicine and Neonatology, University Children’s Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland;Children’s Research Center, University Children’s Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland;Department of Neonatology, Hospital Buelach, Spitalstrasse 24, 8180, Buelach, Switzerland;Department of Otorhinolaryngology, University Children’s Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland;Children’s Research Center, University Children’s Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland;Department of Pathology, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland;

关键词: Case report;    Tracheal agenesis;    Unexpected difficult airway;    Communication;    Culture;    Capnography;   

DOI  :  10.1186/s12887-017-0806-z

 received in 2016-10-22, accepted in 2017-02-06,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundHandling neonates with postnatal respiratory failure due to congenital airway malformations implies knowledge about emergency management of unexpected difficult airway. In these stressful situations both technical and communication skills of the caretakers are essential.Case presentationTwo cases with prenatally unknown tracheal agenesis are reported.ConclusionIn the presented cases, airway malformation and subsequent difficulties upon endotracheal intubation were not adequately communicated between caretakers. We discuss the aspects of culture, communication, and capnography.

【 授权许可】

CC BY   
© The Author(s). 2017