[Acute subglottic tracheal stenosis after resuscitation].
Following cardiac arrest a 41-year-old patient was resuscitated for 40 min and required mechanical ventilation for 27.5 h. Acute shortness of breath and inspiratory stridor developed 7 days after successful extubation. Bronchoscopy revealed a subtotal tracheal stenosis caused by extensive fibrinous membranes. Local ischaemia caused by cuff pressure seems to be a likely explanation with an additional component of general hypoperfusion and haemodynamic instability which led to gastric bleeding (classification according to Forrest IIc) from ischaemic ulcers.
Walter
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S
Abteilung für Anästhesiologie und Intensivmedizin, Evangelisches Amalie Sieveking-Krankenhaus, Akad. Lehrkrankenhaus der Universität Hamburg, Haselkamp 33, 22359 Hamburg. sabine.walter1@web.de
Gasthaus
M
M
Schatz
J
J
Koop
I
I
Paschen
H-R
HR
D000208:Acute Disease; D000328:Adult; D001794:Blood Pressure / Q000502:physiology; D001999:Bronchoscopy; D016887:Cardiopulmonary Resuscitation; D004562:Electrocardiography; D005355:Fibrosis / Q000473:pathology; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D005931:Glottis / Q000473:pathology; D006801:Humans; D008297:Male; D012121:Respiration, Artificial / Q000009:adverse effects*; D012135:Respiratory Sounds / Q000209:etiology; D014135:Tracheal Stenosis / Q000150:complications / Q000209:etiology* / Q000473:pathology