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Pitfalls in pediatric tracheostomy: a case report.

Abstract
Tracheostomy is required in approximately 22% of children with Goldenhar syndrome because of upper airway obstruction. We report a case of problematic tracheostomy placement in a 24-week-old ex-premature infant with Goldenhar syndrome. This infant had potentially life-threatening ventilatory insufficiency following tracheostomy placement related to tracheostomy tube size and position. These complications may have been avoided by a change in practice in methods of assessment of tube position.
AuthorsTamara Culnane, Bruce Hullett, Tanya Farrell
JournalPaediatric anaesthesia (Paediatr Anaesth) Vol. 16 Issue 12 Pg. 1281-4 (Dec 2006) ISSN: 1155-5645 [Print] France
PMID17121561 (Publication Type: Case Reports, Journal Article)
Topics
  • Airway Obstruction (diagnostic imaging, etiology, therapy)
  • Critical Care
  • Goldenhar Syndrome (complications)
  • Humans
  • Infant
  • Male
  • Radiography
  • Respiratory Insufficiency (therapy)
  • Tracheostomy (adverse effects, instrumentation, standards)
  • Ventilation (instrumentation, standards)

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