title: Pitfalls in pediatric tracheostomy: a case report.
abstract: Tracheostomy is required in approximately 22% of children with Goldenhar syndrome because of upper airway obstruction. We report a case of problematic tracheostomy placement in a 24-week-old ex-premature infant with Goldenhar syndrome. This infant had potentially life-threatening ventilatory insufficiency following tracheostomy placement related to tracheostomy tube size and position. These complications may have been avoided by a change in practice in methods of assessment of tube position.
authors.affiliation: Department of Anaesthesia and Pain Management, Princess Margaret Hospital For Children, Perth, WA, Australia. tamara.culnane@bigpond.com
authors.forename: Tamara
authors.initials: T
authors.lastname: Culnane
authors.forename: Bruce
authors.initials: B
authors.lastname: Hullett
authors.forename: Tanya
authors.initials: T
authors.lastname: Farrell
mesh_terms: D000402:Airway Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D003422:Critical Care; D006053:Goldenhar Syndrome / Q000150:complications*; D006801:Humans; D007223:Infant; D008297:Male; D011859:Radiography; D012131:Respiratory Insufficiency / Q000628:therapy*; D014139:Tracheostomy / Q000009:adverse effects* / Q000295:instrumentation / Q000592:standards; D014691:Ventilation / Q000295:instrumentation / Q000592:standards