Postintubation tracheal stenosis in an 11-year-old boy: a surgical and anaesthetic challenge.
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.
Aguilera
I M
IM
Department of Anaesthesia, The Royal Manchester Children's Hospital, Manchester, UK.
Walker
R W M
RW
Dearlove
O R
OR
D000768:Anesthesia, General; D000769:Anesthesia, Inhalation; D018685:Anesthetics, Inhalation / Q000627:therapeutic use; D002648:Child; D006221:Halothane / Q000627:therapeutic use; D006371:Helium / Q000627:therapeutic use; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D008297:Male; D010100:Oxygen / Q000627:therapeutic use; D014132:Trachea / Q000601:surgery; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery*
D018685:Anesthetics, Inhalation; D006371:Helium; D010100:Oxygen; D006221:Halothane