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Postintubation tracheal stenosis in an 11‐year‐old boy: a surgical and anaesthetic challenge
Author(s) -
Aguilera I.M.,
Walker R.W.M.,
Dearlove O.R.
Publication year - 2002
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1046/j.1460-9592.2002.00915.x
Subject(s) - medicine , tracheal stenosis , intubation , surgery , stenosis , tracheal intubation , anesthesia , balloon dilatation , intensive care unit , balloon , radiology , intensive care medicine
Summary We present a case of postintubation tracheal stenosis in an 11‐year‐old boy occurring after a relatively short period of intubation. He had been intubated and ventilated in a paediatric intensive care unit after a road traffic accident. Clinical symptoms manifested by oxygen desaturation and wheeziness, finally leading to deterioration of the level of consciousness, occurred a few hours after the first attempt at extubation after 48 h requiring reintubation. Endoscopic examination performed a few weeks later revealed a tracheal stenosis. Consequently, he underwent an initial period of conservative treatment consisting of balloon dilatation and intralesional injection of steroids, followed by a tracheal resection and reconstruction. The anaesthetic management of patients with tracheal stenosis presenting for laryngo‐tracheobronchoscopy and balloon dilatation is discussed.