Stridor and severe subglottic stenosis: emergency tracheostomy for a neonate with a pinhole trachea.


Journal

BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291

Informations de publication

Date de publication:
04 Jun 2024
Historique:
medline: 5 6 2024
pubmed: 5 6 2024
entrez: 4 6 2024
Statut: epublish

Résumé

Congenital subglottic stenosis is a rare but potentially catastrophic condition. In this report, we describe the management of a term neonate who was noted to have biphasic stridor during preassessment for correction of an imperforate anus at 26 hours of life. The neonate was found to have a pinhole trachea secondary to congenital subglottic stenosis. It was impossible to pass an endotracheal tube, so the neonate underwent an emergency surgical tracheostomy with a good outcome. A high index of suspicion led to appropriate steps being taken to safely anaesthetise the neonate.

Identifiants

pubmed: 38834313
pii: 17/6/e259901
doi: 10.1136/bcr-2024-259901
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Auteurs

Paul Jerome Ryan (PJ)

Department of Anaesthesia and Intensive Care Medicine, Children's Health Ireland at Crumlin, Dublin, Ireland pauljeromeryano30@gmail.com.

Caoimhe Casby (C)

Department of Anaesthesia and Intensive Care Medicine, Children's Health Ireland at Crumlin, Dublin, Ireland.

John Russell (J)

Department of Paediatric Otorhinolaryngology, Children's Health Ireland at Crumlin, Dublin, Ireland.

Francesca Holt (F)

Department of Anaesthesia and Intensive Care Medicine, Children's Health Ireland at Crumlin, Dublin, Ireland.

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