Severe tracheobronchomalacia misdiagnosed as an asthma exacerbation

Alaws, Hossny; Arfoosh, Rami

doi:10.1093/omcr/omad032

Cited by 1 publication

(1 citation statement)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It has been proven that PEEP is therapeutic in patients with TBM due to the intraluminal pressure preventing airway collapse [9]. Alaws et al reported a case of severe TBM that was successfully stabilized with PEEP, securing enough time to evaluate permanent tracheal stenting candidacy [10]. The sudden ability to ventilate a patient with an LMA with PEEP in whom an ET tube could not be placed should also increase suspicion for potential TBM.…”

Section: Discussionmentioning

confidence: 99%

Unexpected Airway Collapse: A Rare Case of Spontaneous Postoperative Tracheobronchomalacia in the Absence of Identifiable Risk Factors

Roberts,

Price,

Chernicki

et al. 2024

Cureus

View full text Add to dashboard Cite

We report the case of a 53-year-old female who developed tracheobronchomalacia immediately following an uncomplicated robotic hysterectomy with bilateral salpingo-oophorectomy to treat postmenopausal bleeding. Induction of anesthesia was notable for moderately difficult intubation, managed with applied cricothyroid pressure and a small 6.5 endotracheal tube placement via GlideScope. The surgical course was uneventful. The patient remained intubated in the post-anesthesia care unit but was not providing end-tidal volumes. Attempts to replace the endotracheal tube with a larger tube were unsuccessful and the patient was temporarily unable to ventilate. Rapid troubleshooting discovered that a laryngeal mask airway (LMA) could sufficiently ventilate the patient. An otolaryngologist was able to perform direct bronchoscopy, which revealed more than 50% dynamic anterior-posterior collapse of the trachea and bronchi. The patient was subsequently awakened from anesthesia and monitored in the intensive care unit, ventilating with an LMA. After a couple of hours, it was determined that the patient’s airway was protected, and the LMA was removed.

show abstract

Section: Discussionmentioning

confidence: 99%