Anaesthetic Management of Acute Supraglottic Airway Obstruction Post-Extubation in a Child Undergoing Cleft Palate Repair: A Case Report

Authors

  • Deepika G.N
  • Manjunath C. Patil

Keywords:

cleft palate, paediatric airway, supraglottic edema, extubation, anaesthesia

Abstract

Cleft palate repair in infants presents significant anaesthetic challenges due to altered airway anatomy. We report a case of a 13-month-old female child (7.5 kg) with complete cleft palate and retrognathia who developed acute supraglottic airway obstruction immediately following extubation after palatoplasty. Anaesthesia was induced with ketamine and succinylcholine, and intubation was achieved using a Miller blade via the paraglossal approach after initial difficulty. Anaesthesia was maintained with oxygen, nitrous oxide, isoflurane, and atracurium. Post-extubation, the child developed desaturation and bradycardia due to tongue and floor-of-mouth edema, necessitating immediate re-intubation after administration of atropine and succinylcholine (1 mg/kg). The patient was electively ventilated and later extubated after resolution of edema. Prompt recognition and intervention ensured a favorable outcome

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Published

2025-03-10

How to Cite

1.
G.N D, C. Patil M. Anaesthetic Management of Acute Supraglottic Airway Obstruction Post-Extubation in a Child Undergoing Cleft Palate Repair: A Case Report. J Neonatal Surg [Internet]. 2025 Mar. 10 [cited 2026 May 10];14(10S):1180-1. Available from: https://jneonatalsurg.com/index.php/jns/article/view/10210

Issue

Vol. 14 No. 10S (2025): Journal of Neonatal Surgery

Section

Original Article

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