2008, Number 3
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Rev Mex Anest 2008; 31 (3)
Subglottic stenosis secondary to endotracheal intubation in pediatric patients and airway management; presentation of two cases
Castillo ZC, Castillo PL
Language: Spanish
References: 11
Page: 201-205
PDF size: 73.04 Kb.
ABSTRACT
Introduction: The acquired subglottic stenosis secondary to prolonged endotracheal intubation affect airway in patients pediatric should obstruction and reduced airflow in upper airway, result: hypoxemia, hypercarbia, respiratory acidosis and difficulty respiratory. The management anesthetic in patients is able complicated treat of intubation because a reduced cavity and who in occasions not accountant with sounding endotracheal and/or laryngeal mask airway of number appropriate, are to have though use resources alternative. Report two cases of patients with subglottic stenosis between 70 and 80%. Submit anesthetics technical with management airway in base of use sounding endotracheal and laryngeal mask airway ProSeal.
Conclusions: The management anesthetic in patients with subglottic stenosis is important maintenance airway; avoid obstruction, desaturation and laryngoespasm. The laryngeal mask airway ProSeal is an alternative in subglottic stenosis.
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