Abstract

MARRUGO-PARDO, Gilberto Eduardo  and  VALENCIA-RUA, Diana Carolina. Pharyngeal injury during a difficult orotracheal intubation in a new born infant. Report of the case. Iatreia [online]. 2018, vol.31, n.1, pp.93-96. ISSN 0121-0793.  https://doi.org/10.17533/udea.iatreia.v31n1a09.

Infants with complications during labor, prematurity, or birth defects may be at risk when they require orotracheal intubation. We report the case of a full-term female infant with a dysmorphic syndrome, seen at a second level hospital in Bogotá, who required orotracheal intubation due to episodes of apnea and cyanosis 5 hours after birth, while she was in bed with her mother. After multiple attempts at orotracheal intubation, there was bleeding from a difficult-to-identify source. Finally, the anesthesiologist secured the airway with a laryngeal mask. She was referred to our institution where a panendoscopy revealed a penetrating lesion, three centimeters in depth, at the right vallecular. We present the assessment, the treatment, its alternatives and the evolution of the patient.

Keywords : Children; Difficult Airway; Intubation; Oropharynx; Trauma.

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