• A&A practice · Jan 2018

    Case Reports

    Anterior Laryngeal Web Leading to Unanticipated Difficult Tracheal Intubation in a Neonate Diagnosed and Managed Successfully With CMAC Video Laryngoscope: A Case Report.

    • Anju Gupta and Nishkarsh Gupta.
    • From the Department of Anesthesiology, Chacha Nehru Bal Chikitsalya, New Delhi, India; and Department of Anaesthesiology, Dr Bhim Rao Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.
    • A A Pract. 2018 Jan 1; 10 (1): 28-30.

    AbstractAnterior laryngeal web is a rare anomaly which is usually asymptomatic in infancy. This translates into a high incidence of unanticipated difficult intubation in these patients with consequent airway morbidity in the form of tracheostomy. We are reporting a case of unsuspected difficult intubation in a neonate due to the presence of a congenital anterior laryngeal web. After multiple failed intubation attempts with direct laryngoscopy, use of CMAC video laryngoscope improved the glottic view, enabled us to diagnose the presence of a thick anterior laryngeal web and intubate the child. We have also highlighted a pivotal history which may improve its preoperative detection.

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