Korean J Anesthesiol.  2010 Dec;59(Suppl):S30-S32. 10.4097/kjae.2010.59.S.S30.

Reversible airway obstruction caused by changing the size and length of an endotracheal tube in a premature neonate with suspected tracheomalacia: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Sanggye Paik Hospital, College of Medicine, Inje University, Seoul, Korea. painfree@paik.ac.kr

Abstract

Tracheomalacia is a malformation of the tracheal membranosa. It is maintained during spontaneous breathing but can be altered by bronchoscopy or positive airway pressure. Tracheomalacia is associated with a high mortality and may cause prolonged intubation and ventilation. Here, the case of a 13-day-old infant with jejunoileal stenosis that had surgery is reported. During induction of general anesthesia, endotracheal intubation was attempted several times with different sized endotracheal tubes. Airway obstruction occurred after the endotracheal intubation. After the airway was maintained, the operation was completed. Tracheomalacia was diagnosed after otolaryngology evaluation postoperatively.

Keyword

Airway obstruction; Prematurity; Tracheomalacia

MeSH Terms

Airway Obstruction
Anesthesia, General
Bronchoscopy
Constriction, Pathologic
Humans
Infant
Infant, Newborn
Intubation
Intubation, Intratracheal
Otolaryngology
Respiration
Tracheomalacia
Ventilation
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