Indian Journal of Anaesthesia  
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CASE REPORT
Year : 2009  |  Volume : 53  |  Issue : 6  |  Page : 683-687

Anaesthetic Management of A Child with Multiple Congenital Anomalies Scheduled for Cataract Extraction


1 Asso. Prof, Department of Anesthesiology, Dr.D.Y.Patil Medical College , Kadamwadi, Kolhapur, Maharashtra, India
2 Lecturer, Department of Anesthesiology, Dr.D.Y.Patil Medical College , Kadamwadi, Kolhapur, Maharashtra, India
3 Prof, Department of Anesthesiology, Dr.D.Y.Patil Medical College , Kadamwadi, Kolhapur, Maharashtra, India

Correspondence Address:
Kalpana Kulkarni
1168, 'CHAITANYA' A-5, Takala Square, Kolhapur, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


PMID: 20640097

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In infants& children variety of conditions and syndromes are associated with difficult Airway. Anaesthetic management becomes a challenge if it remains unrecognized until induction and sometimes results in disaster, leading to oropharyngeal trauma, laryngeal oedema, cardiovascular& neurological complications. A 4-month-old child with multiple congenital anomalies was posted for cataract extraction for early and better development of vision. He had history of post birth respiratory distress, difficulty in feeding, breath holding with delayed mile stones. He was treated as for Juvenile asthma. This child was induced with inhalation anaesthesia. There was difficulty in laryngoscopic intubation and could pass much smaller size of the tube than predicted. He developed post operative stridor and desaturation. The problems which we faced during the anaesthetic management and during postoperative period are discussed with this case.


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