J Korean Assoc Pediatr Surg.  2010 Jun;16(1):37-42.

Conservative Management of Tracheal Injury After Endotracheal Intubation in a Neonate with Subglottic Stenosis and Esophageal Atresia with Tracheoesophageal Fistula

• Jung E
• Choi SO
• Park WH

Abstract

Tracheal injury is a rare complication of endo-tracheal intubation. However in neonates, the rates of morbidity and mortality are high. Recommendations for treatment are based on the several reports of this injury and are individualized. Conservative management can be effective in some cases. We describe the case of a neonate who presented with subcutaneous emphysema after intubation in a neonatal intensive care unit. This patient suffered full VACTERL syndrome and had 1.7mm diameter subglottic stenosis. Conservative management resulted in no further increase in subcutaneous emphysema and after 10 days the patient was stable.

Keyword

Tracheal injury; Therapy; Laryngostenosis; Esophageal atresia; Tracheoesophageal fistula

MeSH Terms

Anal Canal
Constriction, Pathologic
Esophageal Atresia
Esophagus
Heart Defects, Congenital
Humans
Infant, Newborn
Intensive Care, Neonatal
Intubation
Intubation, Intratracheal
Kidney
Laryngostenosis
Limb Deformities, Congenital
Spine
Subcutaneous Emphysema
Trachea
Tracheoesophageal Fistula
Anal Canal
Esophagus
Heart Defects, Congenital
Kidney
Limb Deformities, Congenital
Spine
Trachea