Non-invasive ventilation with balloon dilatation of severe subglottic stenosis in a 10-month infant

Rossetti, Emanuele; Germani, Alessandro; Onofri, Alessandro; Bottero, Sergio

doi:10.1007/s00134-010-2069-0

Cited by 3 publications

(6 citation statements)

References 5 publications

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“…We have found only one case report about a balloon dilatation of subglottic stenosis with noninvasive ventilation [9]. Concomitant airway disorder was shown as a negative prognostic factor when 75% of failed balloon dilatations were in children who had concomitant airway disorders; in contrast, only 37.5% of successfully treated children had concomitant airway disorders ( P = 0.048) [6].…”

Section: Discussionmentioning

confidence: 99%

Balloon Dilatation of Pediatric Subglottic Laryngeal Stenosis during the Artificial Apneic Pause: Experience in 5 Children

Lisý

Groh

Chovanec

et al. 2014

BioMed Research International

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Introduction. Balloon dilatation is a method of choice for treatment of laryngeal stenosis in children. The aim of procedure in apneic pause is to avoid new insertion of tracheostomy cannula. Patients and Methods. The authors performed balloon dilatation of subglottic laryngeal strictures (SGS) in 5 children (3 girls and 2 boys) without tracheotomy. Two of them with traumatic and inflammatory SGS had a tracheal cannula removed in the past. The other 3 children with postintubation SGS had never had a tracheostomy before. The need for tracheostomy due to worsening stridor was imminent for all of them. Results. The total of seven laryngeal dilatations by balloon esophagoplasty catheter in apneic pause was performed in the 5 children. The procedure averted the need for tracheostomy placement in 4 of them (80%). Failure of dilatation in girl with traumatic stenosis and concomitant severe obstructive lung disease led to repeated tracheostomy. Conclusion. Balloon dilatation of laryngeal stricture could be done in the absence of tracheostomy in apneic pause. Dilatation averted threatening tracheostomy in all except one case. Early complication after the procedure seems to be a negative prognostic factor for the outcome of balloon dilatation.

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Section: Discussionmentioning

confidence: 99%

Balloon Dilatation of Pediatric Subglottic Laryngeal Stenosis during the Artificial Apneic Pause: Experience in 5 Children

Lisý

Groh

Chovanec

et al. 2014

BioMed Research International

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show abstract

“…After review of the full-length articles, 14 were excluded, due to its use for chronic stenoses (15,(17)(18)(19)(20), due to its lack of differentiation between acute or chronic stenosis (16,19,(21)(22)(23)(24)(25)(26)(27), and/or because the paper did not differentiate between rigid or balloon dilations (27,28). The 10 remaining papers were selected for this review (3,(29)(30)(31)(32)(33)(34)(35)(36)(37).…”

Section: Endoscopic Balloon Dilation (Ebd)mentioning

confidence: 99%

“…Some authors used the INSPIRA AIRTM balloon (Acclarent Inc., CA, U.S.A.) (33,37). Other authors do not mention the brands of their balloons and/or use many different brands (3,(29)(30)(31)(32)(34)(35)(36). The balloon size was selected according to the ideal subglottic diameter for the patient's age (3, 29, 32-34, 36, 37).…”

Section: Techniquementioning

confidence: 99%

“…The balloon size was selected according to the ideal subglottic diameter for the patient's age (3, 29, 32-34, 36, 37). An inflation/deflation handle mounted with a syringe and gauge assembly designed to monitor and maintain the pressure was used by all authors (29)(30)(31)(32)(33)(34)(35)(36)(37)(38). The balloon was inflated to rated burst pressure by some authors (33,36,37).…”

Section: Techniquementioning

confidence: 99%

“…Other authors specifically mentioned pressures between 2 and 15 atm, (3) 2 atm, (29,31,34), 4 atm, (32), 7 atm (30). The balloon was maintained inflated for 30-60 s or until the patient's oxygen saturation level dropped below 90-92% (3,(29)(30)(31)(32)(33)(34)(35)(36)(37). Some authors repeated the procedure 2-3 times during each session (31)(32)(33)(34)(35)(36)(37).…”

Section: Techniquementioning

confidence: 99%

See 2 more Smart Citations

Ongoing Laryngeal Stenosis: Conservative Management and Alternatives to Tracheostomy

Schweiger¹,

Manica²

2020

Front. Pediatr.

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Primary dilatation as a treatment for pediatric laryngotracheal stenosis: A systematic review

Chueng

Chadha

2013

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Non-invasive ventilation with balloon dilatation of severe subglottic stenosis in a 10-month infant

Cited by 3 publications

References 5 publications

Balloon Dilatation of Pediatric Subglottic Laryngeal Stenosis during the Artificial Apneic Pause: Experience in 5 Children

Balloon Dilatation of Pediatric Subglottic Laryngeal Stenosis during the Artificial Apneic Pause: Experience in 5 Children

Ongoing Laryngeal Stenosis: Conservative Management and Alternatives to Tracheostomy

Primary dilatation as a treatment for pediatric laryngotracheal stenosis: A systematic review

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