Difficult tracheal intubation and post-extubation airway stenosis in an 11-month-old patient with unrecognized subglottic stenosis: a case report
Abstract Background Subglottic stenosis can lead to life-threatening difficult tracheal intubation during general anesthesia. We report a case of difficult tracheal intubation in an 11-month-old female who had unrecognized subglottic stenosis. Case presentation The patient was scheduled for elective...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2017-02-01
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| Series: | JA Clinical Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40981-017-0079-4 |
| _version_ | 1818408227397697536 |
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| author | Natsuko Ohsima Fumimasa Amaya Shunsuke Yamakita Yoshinobu Nakayama Hideya Kato Yumi Muranishi Toshiaki Numajiri Teiji Sawa |
| author_facet | Natsuko Ohsima Fumimasa Amaya Shunsuke Yamakita Yoshinobu Nakayama Hideya Kato Yumi Muranishi Toshiaki Numajiri Teiji Sawa |
| author_sort | Natsuko Ohsima |
| collection | DOAJ |
| description | Abstract Background Subglottic stenosis can lead to life-threatening difficult tracheal intubation during general anesthesia. We report a case of difficult tracheal intubation in an 11-month-old female who had unrecognized subglottic stenosis. Case presentation The patient was scheduled for elective correction of a right accessory auricle. She was suspected of having first and second branchial arch syndrome. Preoperative physical examination was normal. Anesthesia was induced uneventfully using sevoflurane. It was not possible to pass size 4.0, 3.5, or 3.0 cuffed endotracheal tubes due to an advanced subglottic lesion. Subsequent successful intubation was achieved using a 3.0 uncuffed tube. Stridor was audible after extubation, and the patient required several days’ treatment with dexamethasone to address respiratory distress. Conclusions We encountered unrecognized subglottic stenosis that led to difficult tracheal intubation and post-extubation airway stenosis. |
| first_indexed | 2024-12-14T09:40:23Z |
| format | Article |
| id | doaj.art-53b86ef4ebaa49958445f1ee0efb5dbe |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-12-14T09:40:23Z |
| publishDate | 2017-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-53b86ef4ebaa49958445f1ee0efb5dbe2022-12-21T23:07:48ZengSpringerOpenJA Clinical Reports2363-90242017-02-01311410.1186/s40981-017-0079-4Difficult tracheal intubation and post-extubation airway stenosis in an 11-month-old patient with unrecognized subglottic stenosis: a case reportNatsuko Ohsima0Fumimasa Amaya1Shunsuke Yamakita2Yoshinobu Nakayama3Hideya Kato4Yumi Muranishi5Toshiaki Numajiri6Teiji Sawa7Department of Anesthesiology, Kyoto Prefectural University of MedicineDepartment of Anesthesiology, Kyoto Prefectural University of MedicineDepartment of Anesthesiology, Kyoto Prefectural University of MedicineDepartment of Anesthesiology, Kyoto Prefectural University of MedicineDepartment of Anesthesiology, Kyoto Prefectural University of MedicineDepartment of Plastic and Reconstructive Surgery, Kyoto Prefectural University of MedicineDepartment of Plastic and Reconstructive Surgery, Kyoto Prefectural University of MedicineDepartment of Anesthesiology, Kyoto Prefectural University of MedicineAbstract Background Subglottic stenosis can lead to life-threatening difficult tracheal intubation during general anesthesia. We report a case of difficult tracheal intubation in an 11-month-old female who had unrecognized subglottic stenosis. Case presentation The patient was scheduled for elective correction of a right accessory auricle. She was suspected of having first and second branchial arch syndrome. Preoperative physical examination was normal. Anesthesia was induced uneventfully using sevoflurane. It was not possible to pass size 4.0, 3.5, or 3.0 cuffed endotracheal tubes due to an advanced subglottic lesion. Subsequent successful intubation was achieved using a 3.0 uncuffed tube. Stridor was audible after extubation, and the patient required several days’ treatment with dexamethasone to address respiratory distress. Conclusions We encountered unrecognized subglottic stenosis that led to difficult tracheal intubation and post-extubation airway stenosis.http://link.springer.com/article/10.1186/s40981-017-0079-4SevofluraneTracheal IntubationSubglottic StenosisDifficult Tracheal IntubationAirway Stenosis |
| spellingShingle | Natsuko Ohsima Fumimasa Amaya Shunsuke Yamakita Yoshinobu Nakayama Hideya Kato Yumi Muranishi Toshiaki Numajiri Teiji Sawa Difficult tracheal intubation and post-extubation airway stenosis in an 11-month-old patient with unrecognized subglottic stenosis: a case report JA Clinical Reports Sevoflurane Tracheal Intubation Subglottic Stenosis Difficult Tracheal Intubation Airway Stenosis |
| title | Difficult tracheal intubation and post-extubation airway stenosis in an 11-month-old patient with unrecognized subglottic stenosis: a case report |
| title_full | Difficult tracheal intubation and post-extubation airway stenosis in an 11-month-old patient with unrecognized subglottic stenosis: a case report |
| title_fullStr | Difficult tracheal intubation and post-extubation airway stenosis in an 11-month-old patient with unrecognized subglottic stenosis: a case report |
| title_full_unstemmed | Difficult tracheal intubation and post-extubation airway stenosis in an 11-month-old patient with unrecognized subglottic stenosis: a case report |
| title_short | Difficult tracheal intubation and post-extubation airway stenosis in an 11-month-old patient with unrecognized subglottic stenosis: a case report |
| title_sort | difficult tracheal intubation and post extubation airway stenosis in an 11 month old patient with unrecognized subglottic stenosis a case report |
| topic | Sevoflurane Tracheal Intubation Subglottic Stenosis Difficult Tracheal Intubation Airway Stenosis |
| url | http://link.springer.com/article/10.1186/s40981-017-0079-4 |
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