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Stridor and severe subglottic stenosis: emergency tracheostomy for a neonate with a pinhole trachea.
BMJ Case Rep
; 17(6)2024 Jun 04.
Artigo
em Inglês
| MEDLINE
| ID: mdl-38834313
RESUMO
Congenital subglottic stenosis is a rare but potentially catastrophic condition. In this report, we describe the management of a term neonate who was noted to have biphasic stridor during preassessment for correction of an imperforate anus at 26 hours of life. The neonate was found to have a pinhole trachea secondary to congenital subglottic stenosis. It was impossible to pass an endotracheal tube, so the neonate underwent an emergency surgical tracheostomy with a good outcome. A high index of suspicion led to appropriate steps being taken to safely anaesthetise the neonate.