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Intraoperative anesthetic management of an infant with a bridging bronchus: A case report

Tomoharu Shakuo1, Katsunori Oe1, Yuko Shimura1

  • 1Department of Anesthesiology, Showa University Northern Yokohama Hospital, Yokohama, Japan.

Paediatric Anaesthesia
|July 24, 2018
PubMed

Insights

A modified tracheal tube successfully managed oxygenation in an infant with imperforate anus and bridging bronchus. This innovation enabled safe surgery in the prone position, preventing respiratory complications.

Area of Science:

  • Pediatric Surgery
  • Respiratory Medicine
  • Neonatology

Background:

  • A neonate presented with imperforate anus requiring colostomy and subsequently diagnosed with a bridging bronchus.
  • The bridging bronchus caused recurrent hypoxemia during intubation attempts, posing a significant surgical risk.

Observation:

  • The infant experienced repeated episodes of poor oxygenation, complicating airway management.
  • A computed tomography (CT) scan confirmed the presence of a bridging bronchus, a rare congenital anomaly.

Findings:

  • A novel approach using a modified tracheal tube with a widened tip inserted nasally ensured stable oxygenation.
  • The modified tube maintained adequate oxygenation throughout the surgical procedure, even in the prone position.

Implications:

  • This airway management strategy offers a potential solution for complex pediatric surgical cases with concurrent respiratory anomalies.
  • Successful surgical repair of the imperforate anus was achieved without respiratory compromise, highlighting the efficacy of the intervention.

Keywords:
airway managementbridging bronchusbronchial anomalyimperforate anusinfantmodified tracheal tube

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