Acute infective airway obstruction associated with subglottic stenosis

Phillips, J. J.; Sansome, A. J.

doi:10.1111/j.1365-2044.1990.tb14500.x

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…The usual provisos apply: a full range of airway instrumentation and the presence of an otolaryngologist prepared to undertake tracheostomy should intubation fail. Preservation of spontaneous ventilation till the airway is secured is still recommended, especially when there may be co‐existing problems such as underlying tracheal stenosis or compression (69,84) and best achieved with nonirritant inhalational vapors such as sevoflurane and halothane. Typical appearances of the larynx on intubation are shown in Figure 9.…”

Section: Tracheamentioning

confidence: 99%

Infections of the airway

Jenkins¹,

Saunders

2009

Pediatric Anesthesia

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SummaryInfections of the airway in children may present to the anesthetist as an emergency in several locations: the Emergency Department, the Operating Department or on Intensive Care. In all of these locations, relevant and up to date knowledge of presentations, diagnoses, potential complications and clinical management will help the anesthetist and the surgical team, not only with the performance of their interventions, but also in buying time before these are undertaken, avoiding complications and altering the eventual outcome for the child. Diseases such as epiglottitis and diphtheria may show diminished incidence but they have not gone away and their clinical features and essential management remain unchanged. Paradoxically, perhaps, some conditions such as Lemierre's syndrome appear to be making a comeback. In these instances, clinicians need to be alert to these less common conditions, not only in regard to the disease itself but also to potentially serious complications. This article describes those infections of the airway that are most likely to present to the anesthetist, their attendant complications and recommendations for treatment.

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Section: Tracheamentioning

confidence: 99%

Infections of the airway

Jenkins¹,

Saunders

2009

Pediatric Anesthesia

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“…Airway management of the patient with subglottic stenosis is a challenge to anaesthetists (2–4). Several methods of airway management have been reported, but these methods may not be feasible in neonates.…”

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confidence: 99%

“…Second, the tip of the tracheal tube may be positioned above the stenosis, but there is an increased risk of dislodgement. Third, tracheostomy below the level of stenosis has been reported (2), but tracheostomy may not be desirable in neonates (3). In addition, in a situation of ‘cannot intubate, cannot ventilate’ scenario, tracheostomy or percutaneous transtracheal ventilation may not be possible to carry out before the patient has brain damage.…”

mentioning

confidence: 99%