Anaesthetic management of unexpected subglottic stenosis in an achondroplasic dwarf

Maarouf, Adil; Abraham, Annu Susan

doi:10.1111/j.0001-5172.2004.00433.x

Cited by 5 publications

(3 citation statements)

References 4 publications

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“…Subglottic stenosis can result in difficult tracheal intubation at induction of anesthesia [ 1 – 4 ]. Subglottic stenosis may be either congenital or acquired [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…According to our literature search, no cases of unrecognized subglottic stenosis reported severe post-extubational airway stenosis with [ 1 , 3 , 4 ] or without [ 2 ] the prophylactic use of steroids. In contrast, in the present case, symptoms associated with airway stenosis continued for more than 24 h after surgery and necessitated restarting treatment with dexamethasone.…”

Section: Discussionmentioning

confidence: 99%

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Difficult tracheal intubation and post-extubation airway stenosis in an 11-month-old patient with unrecognized subglottic stenosis: a case report

et al. 2017

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BackgroundSubglottic stenosis can lead to life-threatening difficult tracheal intubation during general anesthesia. We report a case of difficult tracheal intubation in an 11-month-old female who had unrecognized subglottic stenosis.Case presentationThe patient was scheduled for elective correction of a right accessory auricle. She was suspected of having first and second branchial arch syndrome. Preoperative physical examination was normal. Anesthesia was induced uneventfully using sevoflurane. It was not possible to pass size 4.0, 3.5, or 3.0 cuffed endotracheal tubes due to an advanced subglottic lesion. Subsequent successful intubation was achieved using a 3.0 uncuffed tube. Stridor was audible after extubation, and the patient required several days’ treatment with dexamethasone to address respiratory distress.ConclusionsWe encountered unrecognized subglottic stenosis that led to difficult tracheal intubation and post-extubation airway stenosis.

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“…Subglottic stenosis can result in difficult tracheal intubation at induction of anesthesia [ 1 – 4 ]. Subglottic stenosis may be either congenital or acquired [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Difficult tracheal intubation and post-extubation airway stenosis in an 11-month-old patient with unrecognized subglottic stenosis: a case report

et al. 2017

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“…Despite the autosomal-dominant transition, >80% of cases occur due to a spontaneous mutation 2. The fertility rate of women with achondroplasia is usually low3; thus, there is little evidence about the optimal management of pregnant women with achondroplasia. The potential problems of pregnancy in a woman with achondroplasia include increased caesarean delivery rate, higher preterm birth risk and fetal skeletal dysplasia incidence.…”

Section: Introductionmentioning

confidence: 99%

Successful obstetric and anaesthetic management of a pregnant woman with achondroplasia

Melekoğlu¹,

Çelik

Eraslan

2017

BMJ Case Reports

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Achondroplasia is the most prevalent form of dwarfism, and there is little evidence about the optimal management of pregnant women with achondroplasia. We presented a 25-year-old primigravid woman with achondroplasia who was followed up during the pregnancy period and performed elective caesarean section with combined spinal-epidural anaesthesia at the 38th week of gestation. Frequent obstetric follow-up visits and invasive prenatal diagnostic tests should be offered during the antenatal period due to the increased risk for obstetric complications, such as premature delivery and fetal anomalies. Prenatal detailed counselling, comprehensive evaluation of the potential risks, obstetric and perioperative management should be performed by a multidisciplinary care team, including an obstetrician, anaesthesiologist, pulmonologist, cardiologist and neonatologist.

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Occult Spinal Cord Injury after Blunt Force Trauma in a Patient with Achondroplasia: A Case Report and Review of Trauma Management Strategy

Huecker

Harris²,

Yazel

2017

The Journal of Emergency Medicine

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Anaesthetic management of unexpected subglottic stenosis in an achondroplasic dwarf

Cited by 5 publications

References 4 publications

Difficult tracheal intubation and post-extubation airway stenosis in an 11-month-old patient with unrecognized subglottic stenosis: a case report

Difficult tracheal intubation and post-extubation airway stenosis in an 11-month-old patient with unrecognized subglottic stenosis: a case report

Successful obstetric and anaesthetic management of a pregnant woman with achondroplasia

Occult Spinal Cord Injury after Blunt Force Trauma in a Patient with Achondroplasia: A Case Report and Review of Trauma Management Strategy

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