tailieunhanh - Báo cáo y học: " Tracheal agenesis as a rare cause of difficult intubation in a newborn with respiratory distress: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Tracheal agenesis as a rare cause of difficult intubation in a newborn with respiratory distress: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Tracheal agenesis as a rare cause of difficult intubation in a newborn with respiratory distress a case report Raja Ahmad 1 Kahairi Abdullah1 Lukman Mokhtar2 and Ahmad Fadzil3 Address Department of Otolaryngology - Head Neck Surgery Faculty of Medicine International Islamic University Malaysia Kuantan 25200 Malaysia 2Department of Anaesthesiology and Intensive Care Faculty of Medicine International Islamic University Malaysia Kuantan 25200 Malaysia and 3Department of Pediatric Tengku Ampuan Afzan Hospital Kuantan 25710 Malaysia Email Raja Ahmad - rlrahmad@ Kahairi Abdullah - kahairiabd@ Lukman Mokhtar - drlukman@ Ahmad Fadzil - afadzil@ Corresponding author Published 4 November 2009 Received 27 October 2009 Journal of Medical Case Reports 2009 3 105 doi 1752-1947-3-105 Accepted 4 November 2009 This article is available from http content 3 1 105 2009 Ahmad et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Tracheal agenesis is a very rare congenital airway anomaly. It may pose a great challenge to the first attending physician both in diagnosis and in establishing the airway during the first day of life. Case presentation We report a newborn Malay baby boy with trachea agenesis type III by Floyd s classification who presented with severe respiratory distress immediately after birth. Clinical diagnosis in this case was not straightforward as it started with difficulty in intubation followed by an unsuccessful emergency tracheostomy in the neonatal intensive care unit. Urgent surgical neck exploration with endoscopic examination in the general operating theatre