Behavioral Disturbance Causing Sudden Respiratory Distress in a 3-Year-Old After Tracheocutaneous Fistula Closure
| Autor: | Hassan M. Aijazi, Rhashedah A. Ekeoduru, Amy D. Graham-Carlson |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Cutaneous Fistula Fistulectomy Child Behavior 03 medical and health sciences Tracheostomy 0302 clinical medicine Intubation Intratracheal medicine Humans Hypnotics and Sedatives Pneumomediastinum 030223 otorhinolaryngology Mediastinal Emphysema Tracheal Diseases medicine.diagnostic_test Respiratory distress business.industry Pneumothorax Respiratory Tract Fistula General Medicine medicine.disease Subcutaneous Emphysema Surgery Respiratory failure Chest Tubes Child Preschool 030220 oncology & carcinogenesis Anesthesia Anesthesia Recovery Period medicine.symptom Respiratory Insufficiency business Chest radiograph Subcutaneous emphysema |
| Zdroj: | A & A Case Reports. 9:13-15 |
| ISSN: | 2325-7237 |
| DOI: | 10.1213/xaa.0000000000000512 |
| Popis: | A 3-year-old boy underwent tracheostomy at age 5 months for respiratory failure. The tracheostomy tube was removed a year later but a tracheocutaneous fistula developed requiring fistulectomy and primary skin closure. After an initial uneventful course in the postanesthesia care unit, the patient became agitated, began to scream, and suddenly developed rapidly progressing subcutaneous emphysema over his chest, face, and abdomen. Orotracheal intubation was emergently performed and chest radiograph revealed pneumothorax and pneumomediastinum. The child was taken to the operating room for placement of a tracheostomy tube. |
| Databáze: | OpenAIRE |
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