ABSTRACT
The anaesthetic management of patients presenting with laryngeal tumours and airway obstruction is difficult. We present the case of a pregnant woman at 30 weeks gestation who underwent surgical removal of two vocal cord polyps under general anaesthesia using jet ventilation
Subject(s)
Airway Management/methods , Anesthesia, General , High-Frequency Jet Ventilation , Polyps/surgery , Vocal Cords/surgery , Adult , Airway Obstruction/etiology , Airway Obstruction/surgery , Edema/complications , Female , Humans , Monitoring, Intraoperative , Polyps/complications , Pregnancy , Respiratory Tract Infections/complicationsABSTRACT
Hereditary haemorrhagic telangiectasia, also known as Osler-Weber-Rendu disease, is a vascular disorder characterized by multiple mucocutaneous and visceral arteriovenous malformations. There is little in the literature about the anaesthetic management of parturients with this condition. We report the anaesthetic management for caesarean section of two such parturients. One patient, with significant pulmonary involvement, received neuraxial anaesthesia for caesarean delivery. The second patient had general anaesthesia because investigations could not rule out neurological involvement. We review and discuss the anaesthetic considerations for obstetric patients with hereditary haemorrhagic telangiectasia.
