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Difficult Endotracheal Intubation in a Neonate: A Clinical Challenge

Reda El Bayoumy, Edeline Coinde, Marion Nimal

Difficult Endotracheal (ET) intubation in neonates is not uncommon situation which has diverse etiologies. It poses a technical challenge to save a newborn baby immediately following birth especially in isolated island with limited neonatal facilities, resources and expertise. Neonatal morbidity and mortality are considerably high in difficult endotracheal intubation scenarios. A late preterm neonate was born limp and apneic. Upper airway obstruction by voluminous supraglottic cystic mass with possible subglottic obstruction was primarily predicted. The neonate was successfully ET intubated and transferred to the tertiary neonatal unit for definitive surgical management.