Laryngeal Mask Airway Obstruction by Mucous Plug in Newborn

Paediatric airway crisis with acute intra–operative distress is common in newborn with congenital defects. Acute intraoperative endotracheal tube obstruction leading to airway crisis has been reported in literature. Herein, we report a case of laryngeal mask Airway (LMA) obstruction by supra laryngeal mucus plug in a premature new–born with tracheo–esophageal fistula where airway was secured with LMA after failed endotracheal intubation. Background: Acute airway obstruction is a life threatening situation requiring immediate attention, intervention and proper management for a successful outcome. Airway obstruction secondary to mucus plug in a case of bronchial asthma and other respiratory diseases is a common problem, especially in ICU settings, that leads to sudden respiratory insufficiency requiring ventilatory support and often resulting in death [1]. Intraoperative acute airway obstruction following endotracheal intubation has many causes [2]. Unexpected obstruction has been reported in relation to head injury [3]. However, Laryngeal Mask Airway obstruction by supraglottic mucous plug has not been reported in literature.