Difficult tracheal intubation and post-extubation airway stenosis in an 11-month-old patient with unrecognized subglottic stenosis: a case report
| Autor: | Yoshinobu Nakayama, Shunsuke Yamakita, Hideya Kato, Teiji Sawa, Fumimasa Amaya, Toshiaki Numajiri, Natsuko Ohsima, Yumi Muranishi |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Stridor Subglottic stenosis Subglottic Stenosis Case Report Tracheal Intubation lcsh:RD78.3-87.3 Sevoflurane 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Intubation Respiratory distress business.industry Tracheal intubation lcsh:Medical emergencies. Critical care. Intensive care. First aid lcsh:RC86-88.9 Airway Stenosis medicine.disease Surgery Stenosis Anesthesiology and Pain Medicine 030228 respiratory system lcsh:Anesthesiology Anesthesia Difficult Tracheal Intubation medicine.symptom Accessory auricle business Airway |
| Zdroj: | JA Clinical Reports, Vol 3, Iss 1, Pp 1-4 (2017) Ja Clinical Reports |
| ISSN: | 2363-9024 |
| DOI: | 10.1186/s40981-017-0079-4 |
| Popis: | Background Subglottic stenosis can lead to life-threatening difficult tracheal intubation during general anesthesia. We report a case of difficult tracheal intubation in an 11-month-old female who had unrecognized subglottic stenosis. Case presentation The patient was scheduled for elective correction of a right accessory auricle. She was suspected of having first and second branchial arch syndrome. Preoperative physical examination was normal. Anesthesia was induced uneventfully using sevoflurane. It was not possible to pass size 4.0, 3.5, or 3.0 cuffed endotracheal tubes due to an advanced subglottic lesion. Subsequent successful intubation was achieved using a 3.0 uncuffed tube. Stridor was audible after extubation, and the patient required several days’ treatment with dexamethasone to address respiratory distress. Conclusions We encountered unrecognized subglottic stenosis that led to difficult tracheal intubation and post-extubation airway stenosis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink