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Anaesthetic Management of a Child with Parapharyngeal Abscess

Shashi Kiran1, Anshul1, Navpreet Singh2

  • 1Department of Anesthesiology, Pt B D Sharma PGIMS, Rohtak, Haryana India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|August 28, 2023
PubMed

Insights

Managing a parapharyngeal abscess in a child requires careful planning to avoid airway obstruction during anesthesia. This case report details successful airway management for a pediatric patient undergoing incision and drainage.

Area of Science:

  • Anesthesiology
  • Pediatric Otolaryngology
  • Emergency Medicine

Background:

  • Parapharyngeal abscesses pose significant risks for airway compromise.
  • Anesthetic induction in pediatric patients with deep neck infections is particularly challenging.

Purpose of the Study:

  • To describe a successful airway management strategy for a pediatric case of parapharyngeal abscess.
  • To highlight the challenges and considerations for anesthetic induction in this specific clinical scenario.

Main Methods:

  • Case report of a 13-year-old child with a parapharyngeal abscess.
  • Detailed description of the airway management techniques employed during anesthetic induction and surgical procedure (incision and drainage).

Main Results:

  • Successful anesthetic induction and completion of the incision and drainage procedure.
  • No major airway-related complications were reported during the management of this pediatric parapharyngeal abscess.

Conclusions:

  • Careful preoperative assessment and tailored airway management are crucial for pediatric patients with parapharyngeal abscess.
  • Effective management can be achieved with appropriate planning and execution, ensuring patient safety.

Keywords:
Awake intubationFibre optic tracheal intubationPaediatric airwayParapharyngeal abscess

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