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Difficult tracheal intubation and post-extubation airway stenosis in an 11-month-old patient with unrecognized subglottic stenosis: a case report
- Source :
- JA Clinical Reports, Vol 3, Iss 1, Pp 1-4 (2017), Ja Clinical Reports
- Publication Year :
- 2017
- Publisher :
- Springer Science and Business Media LLC, 2017.
-
Abstract
- 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.
- Subjects :
- 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
Subjects
Details
- ISSN :
- 23639024
- Volume :
- 3
- Database :
- OpenAIRE
- Journal :
- JA Clinical Reports
- Accession number :
- edsair.doi.dedup.....88d91d821e7f7afe973c07add215125e