Post Intubation Tracheal Stenosis in Children

Caruselli, Marco; Amici, Mirco; Galante, Dario; Paut, O.; Francisci, G. De; Carboni, Laura

doi:10.4081/pr.2014.5491

Cited by 8 publications

(4 citation statements)

References 16 publications

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“…Ilyenkor a pozitív anamnesztikus adatok alapján felmerül a postintubatiós stenosis lehetősége. Amennyiben glottisszűkület is kialakul, a beteg dysphoniára, rekedtségre panaszkodik [3,9,21,22].…”

Section: Esetismertetésunclassified

Postintubatiós stenosis minimálinvazív műtéti megoldása 4 éves gyermeken ultrapulzációs lézer és szteroid-mitomicin alkalmazásával

2019

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Postintubation stenosis is a frequent complication of long-term endotracheal anesthesia. In the last few decades, its incidence showed an increasing tendency particularly among children and premature infants. It mostly affects the subglottic area and avoidance of a tracheotomy could lead to better life quality of the patient. We present the treatment of a glotto-subglottic stenosis in a 4-year-old girl. Ultra Dream Pulse Laser surgery was performed with mometason (Elocom) and mitomycin (Mitomycin-C) submucosal injections to prevent refibrosis. Minimally invasive operations play a key role in the treatment of laryngotracheal stenosis. Ultra Dream Pulse Laser surgeries could be safely applied in pediatric patients. Patient follow-up revealed wide glottis without any fibrosis. Ultra Dream Pulse Laser intervention completed with steroid-mitomycin infiltration is an efficient method of treating postintubation stenosis. Orv Hetil. 2019; 160(20): 792–796.

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Section: Esetismertetésunclassified

Postintubatiós stenosis minimálinvazív műtéti megoldása 4 éves gyermeken ultrapulzációs lézer és szteroid-mitomicin alkalmazásával

2019

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“…• Advancements in neonatal intensive care units has led to improved survival rates [3] . • Prolonged intubation predisposes to acquired airway pathology [4] • Prematurity may also increase the risk of multi-level airway pathology, such as simultaneous subglottic stenosis and laryngeal cleft [1] .…”

Section: Introductionmentioning

confidence: 99%

Airway pathology in the premature - our experience in a tertiary paediatric ENT centre

Vakharia¹

2018

Preprint

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CONCLUSION• Premature patients account for a significant proportion of the workload within our tertiary centre, likely due to improving neonatal care and survival in pre-term infants. • We suggest that in premature patients presenting with symptoms of airway pathology, early paediatric ENT evaluation should be arranged, with a low threshold for MLB. • Although prematurity was found to be associated with discovery of multi-level airway pathology, sub-group analysis did not suggest that there is a statistically significant relationship with grade of prematurity.

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“…The duration of artificial ventilation management after heart surgery is one of the most important questions because laryngotracheal stenosis can be present after long-term artificial ventilation management with intubation. Indeed, it has been reported that the major aetiology of acquired laryngotracheal stenosis is related to intubation [25,26], and the symptoms of laryngotracheal stenosis can be confused with asthma or other airway diseases that are not responsive to therapy [27,28]. On the other hand, most patients do not require additional special laboratory or other diagnostic tests after undergoing a simple corrective operation for CHD with an otherwise empty anamnesis without parallel medications.…”

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confidence: 99%

Anaesthesia management for non-cardiac surgery in children with congenital heart disease

Yamamoto¹,

Schindler²

2016

Anaesthesiol Intensive Ther

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Congenital heart disease (CHD) is the most common form of congenital abnormality and occurs in over 1% of newborns. Approximately 30% of children with CHD have other extra-cardiac anomalies, which significantly increases mortality in CHD patients. It is expected that the number of CHD patients who consult non-specialized hospitals for non-cardiac surgery after palliative or corrective operations will increase because of the extraordinary progression of treatments, such as surgical procedures, interventional procedures, and intensive care medicine, as well as diagnosis. The aim of this article is to enable anaesthesiologists who are not usually engaged in the anaesthesia management of CHD patients to provide perioperative management for CHD patients safely and with confidence by having basic and advanced knowledge about CHD patients and their pathophysiological characteristics. Anestezjologia Intensywna Terapia 2016, tom 48, nr 5, 320-328Key words: anaesthesia, children, congenital heart diseases, extra-cardiac anomalies, Fontan and hemi-Fontan circulation, Ohm's law, pulmonary vascular resistance Congenital heart disease (CHD) is the most common form of congenital abnormality and occurs in over 1% of newborns [1]. This frequency is much higher than expected and is still constant regardless of the continuous progression of prenatal diagnosis [2,3]. In addition to the diagnosis, treatments such as surgical procedures [4−7], interventional procedures [8,9], and intensive care medicine [10] have made extraordinary progress in the past several decades. CHD patients tend to have palliative or corrective operations younger than before [11], and the prognoses, especially in the patients with more complicated CHD, have improved markedly [12,13]. Therefore, it is expected that the number of CHD patients who consult non-specialized hospitals for non-cardiac surgery after palliative or corrective operations will increase. Indeed, it has been reported that the risk of perioperative cardiac arrest is higher in CHD children [14]. Although the frequency of perioperative complications for non-cardiac surgery in CHD patients who have no preoperative complications such as pulmonary hypertension, congestive heart failure, or cyanosis, has been reported to be as low as the frequency in non-CHD patients [15], recent cohort studies have reported that CHD patients who were undergoing non-cardiac surgery exhibited increased perioperative morbidity and mortality [16,17]. The aim of this article is to enable anaesthesiologists who are not usually engaged in anaesthesia management for CHD patients to provide perioperative management for CHD patients safely and with confidence by having basic and advanced knowledge about CHD patients and their pathophysiological characteristics [18].

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Post Intubation Tracheal Stenosis in Children

Cited by 8 publications

References 16 publications

Postintubatiós stenosis minimálinvazív műtéti megoldása 4 éves gyermeken ultrapulzációs lézer és szteroid-mitomicin alkalmazásával

Postintubatiós stenosis minimálinvazív műtéti megoldása 4 éves gyermeken ultrapulzációs lézer és szteroid-mitomicin alkalmazásával

Airway pathology in the premature - our experience in a tertiary paediatric ENT centre

Anaesthesia management for non-cardiac surgery in children with congenital heart disease

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