2014, Number 2
Acquired subglottic stenosis in a pediatric surgical patient
Rodríguez PY, Fernández RH
Language: Spanish
References: 11
Page: 176-181
PDF size: 140.42 Kb.
ABSTRACT
Introduction: Subglottic stenosis is defined as partial or total narrowing of the subglottis, located at the cricoid cartilage level. Subglottic stenosis may be congenital or acquired.Objective: Describe the disease and present the clinical characteristics and the management of a female patient with subglottic stenosis.
Clinical case: A female patient with a history of prematurity and imperforate anus, and administration of endotracheal general anesthesia on numerous occasions for surgical procedures and postoperative mechanical ventilation, is presumptively diagnosed with acquired subglottic stenosis and referred to otorhinolaryngology consultation for study.
Conclusions: Pediatric patients with a history of intubation and prolonged mechanical ventilation should be suspected of acquired subglottic stenosis when insertion of an endotracheal cannula suitable for their age is not possible and they require several intubation attempts with decreasing diameters, even in the absence of clinical signs and symptoms.
REFERENCES
García H, Ramírez-San Juan H, Figueroa JR, Villegas-Silva R, Muñiz OM. Frecuencia de lesión de la vía aérea identificada por broncoscopia en recién nacidos con intubación endotraqueal prolongada en una unidad de cuidados intensivos neonatales de tercer nivel. Bol Med Hosp Infant Mex. 2012;69(5):397-403.