CHAOS bei der Neugeborenenversorgung?

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• 作者：Dr. med. G. Jansen ; B. Schmidt ; F. Mertzlufft ; T. Boesing ; M. Barthel
• 关键词：SchlüsselwörterTrachealagenesie ; Unmögliche Intubation ; Congenital high airway obstruction syndrome
• 刊名：Der Anaesthesist
• 出版年：2016
• 出版时间：October 2016
• 年：2016
• 卷：65
• 期：10
• 页码：763-767
• 全文大小：588 KB
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Anesthesiology
  Emergency Medicine
  Intensive and Critical Care Medicine
  Pain Medicine
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1432-055X
• 卷排序：65

文摘

Tracheal agenesis (TA) is a very rare congenital malformation of unknown aetiology. It is often associated with polymalformative syndromes; the neonates commonly present a critical condition during post-natal treatment. Pathology revolves around the triad of aphonia, respiratory distress syndrome and impossibility of endotracheal intubation. In contrast to the most important differential diagnosis, i. e., congenital high airway obstruction syndrome (CHAOS), surgical airway management is also impossible due to the absence of tracheal structures. In most cases, prognosis is very poor. The case report at hand portrays the treatment of a neonate suffering from tracheal agenesis.