Retropharyngeal abscess leading to fatal airway obstruction in a child – A case report

Swain, Santosh Kumar; Sahu, Mahesh Chandra

doi:10.1016/j.pepo.2016.03.004

Cited by 6 publications

(3 citation statements)

References 9 publications

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“…Before doing decannulation, the patient must be assessed to find out the initial reason for performing tracheostomy has resolved. 35 Airway examination should be done to rule out some lesions which prevent decannulation such as vocal fold paralysis, stomal granulation, supra-stomal collapse, distal tracheal granulation, and tracheomalacia. 36 In the case of long-standing tracheostomy, the stoma may become epithelized.…”

Section: Decannulation Protocolmentioning

confidence: 99%

Pediatric tracheostomy: a review

Swain

2022

Int J Contemp Pediatr

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Tracheostomy is a life shaving surgery done in critically sick patients. Pediatric tracheostomy is a surgical procedure performed since ancient times. Performing tracheostomy in the pediatric age group is often challenging because of its association with morbidity and mortality. The indications for pediatric tracheostomy have been changed significantly in the last few decades. In pediatric patients, the common indications for tracheostomy are prolonged ventilation and upper airway obstruction. Advanced methods in pediatric anesthesia and increased awareness for vaccination for serious infections like measles, mumps, diphtheria, tetanus, and hemophilus influenza type b (Hib) among pediatric age increased the changing indications for performing tracheostomy from emergency to more elective one. There are numerous research papers available in medical literature for adult tracheostomy with its indications, surgical techniques, and complications, but literature for pediatric tracheostomy is scarce. This is always a requirement for standard guidelines for standard protocols for pediatric tracheostomy. Proper standardization of pediatric tracheostomy, timing, and appropriate indications are helpful to reduce the complications and mortality related to pediatric tracheostomy. Here, this review article is attempting to discuss the indications, preoperative evaluation, surgical techniques, complications, and post-operative care of the pediatric tracheostomy.

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Section: Decannulation Protocolmentioning

confidence: 99%

Pediatric tracheostomy: a review

Swain

2022

Int J Contemp Pediatr

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“…retropharyngeal space, is likely to result in narrowing of the upper airway leading to stridor. Children under the age of three years have a high chance of airway obstruction [18]. Hence, DNSI in the young children should be diagnosed quickly and treated promptly.…”

Section: Clinical Presentationsmentioning

confidence: 99%

“…The antibiotic treatment should be adjusted as per culture and sensitivity report of the pus derived from the DNSI [29]. Because younger children with DNSI have a high chance of airway obstruction, they urgently require diagnosis and prompt treatment [18]. Managing airway obstruction is often challenging in this situation.…”

Section: Treatmentmentioning

confidence: 99%