Two case reports of unexpected tracheal agenesis in the neonate: 3 C's beyond algorithms for difficult airway management. Issue 1 (December 2017)

• Record Type: Journal Article
• Authors: Grass, Beate; Simma, Leopold; Reinehr, Michael; Zimmermann, Urs; Gysin, Claudine; Henze, Georg; Cannizzaro, Vincenzo
• Is Part Of: BMC pediatrics. Volume 17:Issue 1(2017)
• Page Start: 1
• Page End: 6
• Publication Date: 2017-12
• Subjects: Case report -- Tracheal agenesis -- Unexpected difficult airway -- Communication -- Culture -- Capnography; Pediatrics -- Periodicals; 618.920005
• DOI: 10.1186/s12887-017-0806-z
• Languages: English
• ISSNs: 1471-2431

Abstract

Abstract Background Handling neonates with postnatal respiratory failure due to congenital airway malformations implies knowledge about emergency management of unexpected difficult airway. In these stressful situations both technical and communication skills of the caretakers are essential. Case presentation Two cases with prenatally unknown tracheal agenesis are reported. Conclusion In the presented cases, airway malformation and subsequent difficulties upon endotracheal intubation were not adequately communicated between caretakers. We discuss the aspects of culture, communication, and capnography.