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Airway Management in an Infant With Huge Hydrocephalus. | LitMetric

Airway Management in an Infant With Huge Hydrocephalus.

AANA J

is an assistant professor in the Department of Neuroanaesthesia, National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India.

Published: August 2017

AI Article Synopsis

  • Huge hydrocephalus is characterized by head circumference larger than body length, and this text discusses anesthetic management during a ventriculoperitoneal shunt procedure for a 4-month-old patient.
  • The patient had obstructive hydrocephalus caused by a midline supratentorial lesion compressing the sylvian aqueduct.
  • To optimize airway management during intubation, a pillow was used to position the baby for better alignment between the line of vision and laryngeal axis.

Article Abstract

Huge hydrocephalus is defined as a head circumference larger than the length of the child. We discuss the perioperative anesthetic management of a case of huge hydrocephalus during ventriculoperitoneal shunt placement, focusing primarily on the airway management. The patient was a 4-month-old with a midline supratentorial lesion causing obstructive hydrocephalus due to compression of the sylvian aqueduct. For optimum positioning for direct laryngoscopy, a pillow was placed below the baby's torso, to achieve a slight extension at the atlantoaxial joint. This maneuver decreased the angle between the line of vision and the laryngeal axis (calculated from the images), which effectively improved alignment.

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