Article ; Online: Unexpected difficult tracheal intubation secondary to subglottic stenosis leading to emergency front-of-neck airway.
Anaesthesia reports
2021 Volume 9, Issue 1, Page(s) 90–94
Abstract: A 26-year-old woman presenting for an elective day case procedure under general anaesthesia had undiagnosed subglottic stenosis leading to a life threatening airway emergency requiring emergency front-of-neck airway. We outline the case and discuss key ... ...
| Abstract | A 26-year-old woman presenting for an elective day case procedure under general anaesthesia had undiagnosed subglottic stenosis leading to a life threatening airway emergency requiring emergency front-of-neck airway. We outline the case and discuss key anaesthetic considerations in subglottic stenosis, including concerning features of a medical/anaesthetic history and the potential for rapid deterioration of a stenotic airway following manipulation. We also consider the effect of anaesthesia on the calibre of subglottic stenosis and the effects of positive pressure ventilation. Subglottic stenosis is a rare condition with congenital, acquired and idiopathic origins; however, iatrogenic trauma is the most common cause. We are aware of a small number of published case reports of previously undiagnosed subglottic stenosis in adults discovered after induction of anaesthesia; situational deterioration to 'cannot intubate, cannot oxygenate' scenarios appear even rarer. |
|---|---|
| Language | English |
| Publishing date | 2021-05-09 |
| Publishing country | England |
| Document type | Case Reports |
| ISSN | 2637-3726 |
| ISSN (online) | 2637-3726 |
| DOI | 10.1002/anr3.12115 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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