Akute subglottische Trachealstenose nach Reanimation
Autor: | S. Walter, J. Schatz, M. Gasthaus, H.-R. Paschen, I. Koop |
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Rok vydání: | 2007 |
Předmět: | |
Zdroj: | Der Anaesthesist. 56:790-792 |
ISSN: | 1432-055X 0003-2417 |
DOI: | 10.1007/s00101-007-1195-8 |
Popis: | Following cardiac arrest a 41-year-old patient was resuscitated for 40 min and required mechanical ventilation for 27.5 h. Acute shortness of breath and inspiratory stridor developed 7 days after successful extubation. Bronchoscopy revealed a subtotal tracheal stenosis caused by extensive fibrinous membranes. Local ischaemia caused by cuff pressure seems to be a likely explanation with an additional component of general hypoperfusion and haemodynamic instability which led to gastric bleeding (classification according to Forrest IIc) from ischaemic ulcers. |
Databáze: | OpenAIRE |
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