Anesthetic management during tracheotomy in a child with respiratory distress caused by severe intubation-induced glottic stenosis.
J Anesth
; 26(3): 449-52, 2012 Jun.
Article
en En
| MEDLINE
| ID: mdl-22310834
ABSTRACT
We provided anesthetic management during a tracheotomy procedure for a child who demonstrated labored respiration during inspiration because of severe glottic stenosis and bilateral vocal cord paralysis caused by tracheal intubation. A 4-year-old boy developed acute respiratory depression associated with influenza pneumonia and had been under respiratory management with mechanical ventilation with tracheal intubation for 3 days. Following extubation, an upper-airway obstruction immediately appeared. The symptoms later worsened because of development of a common cold, and the patient underwent an emergency tracheotomy. For anesthetic management, we used a combination of ketamine with low-concentration sevoflurane inhalation. The tracheotomy was performed safely without respiratory complications by employing manual-assisted ventilation, while spontaneous breathing was preserved by use of a face mask.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Traqueotomía
/
Parálisis de los Pliegues Vocales
/
Laringoestenosis
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Intubación Intratraqueal
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Anestesia
Límite:
Child, preschool
/
Humans
/
Male
Idioma:
En
Revista:
J Anesth
Asunto de la revista:
ANESTESIOLOGIA
Año:
2012
Tipo del documento:
Article
País de afiliación:
Japón