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Case Studies | Medicine Science | India | Volume 8 Issue 4, April 2019
Oral Teratoma in a Neonate - Anesthetic Challenge
Trishi Sharma, Neelam Dogra
Congenital teratoma of oral cavity in a neonate is a rare condition associated with compromised airway and challenges anesthesiologist in airway mamagement. We report a case of neonate with multiple oral teratoma, cleft palate and bifid tongue who presented with respiratory distress. A one day old 2.8 kg female baby with multiple oral mass protruding from mouth, cleft palate and bifid tongue was scheduled for excision of mass. Injection Atropine 0.01mg/kg was given through already secure i.v. line to limit secretions. Oxymetazoline nasal drop were put in both nostrils and then patency of right nare was checked by nasogastric feeding tube. A bigger size mask was selected to ensure proper bag and mask ventilation. Anesthesia was induced by sevoflurane and oxygen in gradual incremental concentration. A check laryngoscopy was done to visualize glottis. As glottis was visible injection succinylcholine 1.5 mg/kg was given and nasal intubation was done with the help of magills forcep from right nostril. Injection Fentanyl 2 microgram/kg was given and anesthesia was maintained with oxygen, nitrous oxide and sevoflurane. Recovery was uneventful after the surgical procedure and extubation was done.
Keywords: Key words: Oral mass, Congenital teratoma, Neonate difficult airway
Edition: Volume 8 Issue 4, April 2019
Pages: 851 - 853
How to Cite this Article?
Trishi Sharma, Neelam Dogra, "Oral Teratoma in a Neonate - Anesthetic Challenge", International Journal of Science and Research (IJSR), https://www.ijsr.net/search_index_results_paperid.php?id=ART20196963, Volume 8 Issue 4, April 2019, 851 - 853
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