---

Anesthetic considerations in an infant with congenital cystic adenomatoid malformation

Full Text PDF

---

Case Report

Author Details : Lalit Gupta, Bhavna Gupta, Anish Gupta, Rahul Jain

Volume : 5, Issue : 1, Year : 2018

Article Page : 156-158

https://doi.org/10.18231/2394-4994.2018.0027

Suggest article by email

Get Permission

Abstract

Congenital cystic adenomatoid malformation (CCAM) is a rare developmental disorder of lower respiratory tract in which child presents with severe respiratory distress, pneumonitis or sepsis. Anesthetic management of such children is challenging owing to hyperinflation or rupture of cystic lesions or iatrogenic pneumothorax with positive pressure ventilation, sudden hemodynamic collapse during induction, excessive bleeding and situation becomes more challenging if child is presenting with sepsis. We report successful management of 42 days old infant with CCAM with pneumonitis and sepsis who underwent lobectomy and was successfully extubated on operating table with meticulous planning and optimum perioperative management. Early extubation is desirable to avoid iatrogenic ventilator induced bronchial stump dehiscence by positive pressure ventilation.

Keywords: Anesthesia considerations, Congenital cystic adenomatoid malformation, Pneumonitis, Sepsis.

How to cite : Gupta L, Gupta B, Gupta A, Jain R, Anesthetic considerations in an infant with congenital cystic adenomatoid malformation. Indian J Clin Anaesth 2018;5(1):156-158

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.