Akute subglottische Trachealstenose nach Reanimation

Autor: S. Walter, J. Schatz, M. Gasthaus, H.-R. Paschen, I. Koop
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