Neonatal Respiratory Distress and Airway Emergency: Report of Two Cases.

摘要: We discuss two cases of congenital airway malformations seen in our neonatal intensive care unit (NICU). The aim is to report extremely rare events characterized by immediate respiratory distress after delivery and the impossibility ventilate intubate airway. first case a male twin born at 34 weeks emergency caesarean section. Immediately delivery, newborn was cyanotic showed severe distress. Bag-valve-mask ventilation did not relieve but allowed for temporary oxygenation during subsequent unsuccessful oral-tracheal intubation (OTI) attempts. Flexible laryngoscopy revealed complete subglottic obstruction. Postmortem analysis poly-malformative syndrome, unilateral multicystic renal dysplasia with diaphragm, tracheo-esophageal fistula (TEF). second patient that vaginally 35 weeks. Antenatally, an ultrasound (US) arose suspicion VACTERL association (vertebral defects, anal atresia, TEF esophageal atresia radial or dysplasia, plus cardiovascular limb defects) TEF, thus, fetal magnetic resonance (MRI) scheduled. Spontaneous labor started shortly thereafter, before imaging could be performed. Respiratory distress, cyanosis, absence audible cry observed immediately delivery. Attempts OTI were unsuccessful, whereas bag-valve-mask sufficient oxygenation. An tracheostomy attempted, although no trachea found on cervical exploration. tracheal agenesis (TA), single umbilical artery. Clinicians need aware difficulties upon endotracheal must plan multidisciplinary management including tracheostomy.