Premium
Pediatric tracheomalacia and the perioperative anesthetic management of thoracoscopic posterior tracheopexy
Author(s) -
Masaracchia Melissa M.,
Polaner David M.,
Prager Jeremy D.,
DeBoer Emily M.,
Dewberry Lindel C.,
Somme Stig,
Wine Todd,
Janosy Norah R.
Publication year - 2018
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 - 10.1111/pan.13420
Subject(s) - tracheomalacia , medicine , thoracoscopy , perioperative , surgery , general surgery , airway
Summary Tracheomalacia is a broad term used to describe an abnormally compliant trachea that can lead to exaggerated collapse and obstruction with expiration. We describe the perioperative management of a complex pediatric patient undergoing a posterior tracheopexy which is a relatively new surgical treatment, with a novel surgical approach—thoracoscopy. This procedure has competing surgical and anesthetic needs and presents unique challenges to the physicians involved in caring for these patients. We also review the current literature on pediatric tracheomalacia and examine the newest treatment options to highlight the potential anesthetic challenges and pitfalls associated with management.