Tuberc Respir Dis.  1980 Dec;27(4):169-172. 10.4046/trd.1980.27.4.169.

Tracheal Stenosis Following Assisted Ventilation

• KMID: 2528875
• DOI: http://doi.org/10.4046/trd.1980.27.4.169

Abstract

Tracheal stenosis in patients who have been treated for respiratory failure by assisted ventilation withcuffed tracheostomy tube have been increasingly recognized since late 1960s. Assisted ventilation with endotracheal intubation or tracheostomy are widely used for the patient who was admitted with drug intoxication including CO intoxication or acute respiratory insufficiency. Among the variable complications including tracheal stenosis, tracheal erosion. hemorrhage or aspiration pneumonia. advanced tracheal stenosis gives a serious clinical manifestation which can only be corrected by surgical intervention in many occasions. Here we presented a case of parathion intoxication who was admitted to Department of Internal Medicine and treated with endotracheal intubation for 5 days and followed by assisted ventilation with tracheostomy for 7 days. Bronchofiberscopic examination disclosed severe tracheal stenosis at the level of cuff site. On the 30th hospital day, 4cm of the tracheal segment was resected and reconstructed with excellent result under extracoporeal circulation.