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Canadian Journal of Anesthesia, Vol 11, 147-158, Copyright © 1964 by Canadian Anesthesiologists' Society

Anaesthesia for Infants with Tracheal Obstruction

J E S RELTON MB, BS, DA, FFARCS (ENG)1 and A W CONN MD, BSC, FRCP (C), FACA2

1 Fellow in Clinical Anaesthesia, The Hospital for Sick Children, Toronto
2 Chief of Anaesthesia, The Hospital for Sick Children, Toronto, and Assistant Professor of Anaesthesia, University of Toronto

The aetiology, physiological effects, and symptomatology of tracheal obstruction in infants are reviewed. The causes of obstruction are classified according to sitemtraluminal, mural, and extramural–and each type illustrated by a case report. The anaesthetic management of these cases is described Endoscopic procedures, tracheotomy, or open operation may be required to relieve the obstruction. The problems arising in connection with anaesthesia for these cases are discussed. Special reference is made to the use of an infant bronchoscope in traversing the site of the obstruction and providing a satisfactory airway for one-lung anaesthesia during thoracotomy.






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Copyright © 1964 by the Canadian Anesthesiologists' Society.