Two case reports of unexpected tracheal agenesis in the neonate: 3 C's beyond algorithms for difficult airway management.
- Grass B Department of Intensive Care Medicine and Neonatology, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland. beate.grass@kispi.uzh.ch.
- Simma L Department of Intensive Care Medicine and Neonatology, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland.
- Reinehr M Department of Pathology, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.
- Zimmermann U Department of Neonatology, Hospital Buelach, Spitalstrasse 24, 8180, Buelach, Switzerland.
- Gysin C Department of Otorhinolaryngology, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland.
- Henze G Department of Anesthesia, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland.
- Cannizzaro V Department of Intensive Care Medicine and Neonatology, University Children's Hospital Zurich, Steinwiesstrasse 75, 8032, Zurich, Switzerland.
- 2017-02-10
Published in:
- BMC pediatrics. - 2017
Capnography
Case report
Communication
Culture
Tracheal agenesis
Unexpected difficult airway
Airway Management
Algorithms
Capnography
Clinical Decision-Making
Constriction, Pathologic
Fatal Outcome
Humans
Infant, Newborn
Intubation, Intratracheal
Male
Trachea
English
BACKGROUND
Handling 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 PRESENTATION
Two cases with prenatally unknown tracheal agenesis are reported.
CONCLUSION
In 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.
Handling 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 PRESENTATION
Two cases with prenatally unknown tracheal agenesis are reported.
CONCLUSION
In 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.
- Language
-
- English
- Open access status
- gold
- Identifiers
-
- DOI 10.1186/s12887-017-0806-z
- PMID 28178944
- Persistent URL
- https://sonar.rero.ch/global/documents/47453
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