【Pediatric Anesthesia】Reflections on the anesthesia plan of tracheoscopy surgery

Preoperative diagnosis: acoustic inferior stenosis Surgery: tracheoscopy + vocal stenosis balloon dilation tracheoplasty

Basic situation of the patient: 36 + 3 weeks, caesarean section, 3.

Laryngoscopy: subsonic stenosis 3 degrees

Examination: cardiac ultrasound: normal range of atrial diameter, atrial deficiency secondary hole 4.

Preoperative evaluation: high-flow nasal cannula oxygen (oxygen flow 6/min, oxygen concentration 21%), Sp02 90-95%, slightly shortness of breath, weak positive suction, crying hoarseness, no cyanosis, thick breath sounds in both lungs, no dry and wet rales, reaction is ok

Child 2, 36 days, 3.
63 kg

Preoperative diagnosis: congenital tracheal dysplasia with endotracheal masses?

Surgery: tracheoscopy + sound ⻔ upper forming + partial spoon-like soft ⻣ partial resection

• Basic conditions: 40 + 5 weeks, shun, 3.
2 kg 9-10 Shortly after birth inspiratory dyspnea, shortness of breath, supportive therapy, 2 days after birth ct show lung inflammation, no "obvious airway stenosis" shows sound, fiber mirror shows a wart-like bulge in the airway, post-blood gas still shows CO2 retention intubation treatment many times, after 12 days after birth, there is obvious dyspnea after the catheter is pulled out, 2 times the disengagement failure is suspected, and the
possibility of respiratory development deformity is suspected.

Referred to our hospital, withdrawn after a few days of treatment
.

 

• Preoperative assessment: high-flow nasal cannula oxygen, 21% oxygen, no cyanosis, saturation above 95, paroxysmal suction, thick breath sounds in both lungs, no dry and wet rales,

• Preoperative examination: 1.
8 mm foramen cardiac ultrasound, ct: no obvious abnormalities, the rest are not obvious abnormalities
.

ps Chinese Doctor 👩 ⚕️👨 ⚕️ was released

Everyone has time to move