RT Book, Section
A1 Duggan, Laura V.
A1 Jagannathan, Narasimhan
A2 Hung, Orlando
A2 Murphy, Michael F.
SR Print(0)
ID 55871595
T1 Chapter 42. Unique Airway Issues in the Pediatric Population
T2 Management of the Difficult and Failed Airway, 2e
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-162344-5
LK accessanesthesiology.mhmedical.com/content.aspx?aid=55871595
RD 2024/04/19
AB A  full-term  2-day-old  newborn  has  been  persistently  vomiting  and  has  been  in  the  neonatal  intensive  care  unit  since  birth.  After  delivery,  the  baby  was  vigorous,  and  had  APGAR  scores  of  9/9.  The  neonatologists  order  an  abdominal  x-ray  which  reveals  multiple  air-fluid  levels  indicative  of  small  bowel  obstruction.  The  surgeons  are  worried  about  potential  intestinal  perforation.  They  want  to  proceed  to  the  operating  room  for  an  exploratory  laporotomy  as  soon  as  possible.  You  are  on  call  and  immediately  attend  to  the  baby  for  assessment.  You  notice  severe  micrognathia,  obvious  signs  of  respiratory  distress  including  tachypnea  with  indrawing  of  the  chest,  and  a  distended  tender  abdomen.  The  baby's  oxygen  saturation  on  2  L·min−1  of  oxygen  via  nasal  cannula  is  93%.  What  are  your  concerns  and  how  would  you  manage  this  child's  airway?