Double respiratory sequelae of head injury: subglottic stenosis and bilateral pneumothoraces.
An 18-yr-old man with insulin-dependent diabetes developed severe subglottic stenosis after a very brief period of intubation. Emergency tracheostomy was complicated by the development of bilateral pneumothoraces. This case highlights the importance of making an early diagnosis to minimize the risk of complications and examines postintubation subglottic stenosis in the context of poorly controlled insulin-dependent diabetes mellitus.
Millard
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Department of Anaesthesia, Joondalup Health Campus, Perth, Western Australia, Australia. dralanmillard@hotmail.com
D000293:Adolescent; D000758:Anesthesia / Q000379:methods; D006259:Craniocerebral Trauma / Q000150:complications*; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D004417:Dyspnea / Q000209:etiology; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007829:Laryngostenosis / Q000209:etiology*; D008297:Male; D011030:Pneumothorax / Q000209:etiology*; D012131:Respiratory Insufficiency / Q000209:etiology