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

Abstract

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.

• Authors: Beate Grass, Leopold Simma, Michael Reinehr, Urs Zimmermann, Claudine Gysin, Georg Henze, Vincenzo Cannizzaro
• Journal: BMC pediatrics (BMC Pediatr) Vol. 17 Issue 1 Pg. 49 (02 08 2017) ISSN: 1471-2431 [Electronic] England
• PMID: 28178944 (Publication Type: Case Reports, Journal Article)

Topics

• Airway Management (methods)
• Algorithms
• Capnography
• Clinical Decision-Making
• Constriction, Pathologic (diagnosis, therapy)
• Fatal Outcome
• Humans
• Infant, Newborn
• Intubation, Intratracheal
• Male
• Trachea (abnormalities)