Acute Airway Bleeding in 2-Month-Old Status-Post Supraglottoplasty
2-month-old full term male with history of SIDS in his brother, obstructive sleep apnea, laryngomalacia and GERD, presented for supraglottoplasty with left arytenoidectomy, and epiglottopexy with CO2 laser. He received ketamine and propofol drip and tolerated the procedure well. Postoperatively in the ICU he started spitting up frank blood. Patient was emergently taken back to the OR. Spontaneous ventilation was maintained, the source on the right arytenoid was identified, and hemostasis was achieved. Patient was monitored and was discharged home 24 hours later. We intend to discuss apnea in newborns, interventions, and anesthetic implications of a compromised pediatric airway.
Nowatzke RW, Chokr M, Aslani K. Acute airway bleeding in 2-month-old status-post supraglottoplasty. Paper presented at: The American Society of Anesthesiology Annual Meeting; 2021 Oct 8-12; San Diego, CA. Available at: https://www.abstractsonline.com/pp8/#!/9323/presentation/5112