AI Article Synopsis
- Difficult intubation in neonates can arise from various causes, complicating emergency situations, especially when prenatal information is lacking.
- A case is discussed involving a late preterm baby born non-responsive and requiring multiple intubation attempts, eventually leading to the baby's death from severe asphyxia.
- Autopsy revealed that an ectopic thymus caused a mass around the airway, illustrating the need for early recognition of such conditions to prevent fatal outcomes in similar cases.
Article Abstract
Difficult intubation in neonates has innumerable aetiologies. It especially poses a formidable challenge to save a newborn baby immediately after birth where antenatal details are unavailable. A late preterm neonate was born limp and apnoeic. Several attempts to intubate the baby were unsuccessful. Possibility of subglottic obstruction was considered. The baby died of severe perinatal asphyxia. Autopsy showed a mass around the airway which turned out to be ectopic thymus on histopathology. Ectopic thymus can present as periglottic mass without externally visible cervical swelling and can cause difficult intubation which may lead to serious adverse outcome including death if not anticipated early and managed accordingly.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6301607 | PMC |
| http://dx.doi.org/10.1136/bcr-2018-224769 | DOI Listing |
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