HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

[Acute respiratory failures caused by post-tracheotomy tracheomalacia].

Abstract
A 77-year-old man underwent thoracic surgery. He had a history of two previous operations: parapharyngeal tumor removal with temporal tracheotomy 14 years ago and, two years later, a sinus surgery when, according to our anesthesia registry, intubation was extremely difficult due to stricture of the trachea underneath the tracheotomy scar. Pathology was not fully elucidated. Preoperative examinations including chest x-ray, spirogram and CT were not remarkable. The scar above the suprasternal notch was visibly sunken and retracted with respiration. Stridor was auscultated but breathing was not labored. The patient was anesthetized with propofol and intubation was smooth. During surgery anesthesia was maintained with sevoflurane, remifentanil and rocuronium. However, extubation was followed by desperate gasping and severe respiratory distress. The tracheotomy scar caved in and the airway collapsed. Continuous airway pressure via a facemask restored airway patency and improved breathing. After overnight respiratory support with non-invasive positive pressure ventilation (NPPV), patient was weaned from ventilator. Airway collapse and the two episodes of respiratory failures while under general anesthesia were attributed to post-tracheotomy tracheomalacia.
AuthorsAyuko Igarashi, Masayoshi Sato, Keiko Seino
JournalMasui. The Japanese journal of anesthesiology (Masui) Vol. 63 Issue 2 Pg. 164-7 (Feb 2014) ISSN: 0021-4892 [Print] Japan
PMID24601110 (Publication Type: Case Reports, Journal Article)
Topics
  • Aged
  • Anesthesia, General
  • Humans
  • Male
  • Positive-Pressure Respiration
  • Postoperative Complications (etiology, therapy)
  • Respiratory Distress Syndrome (etiology, therapy)
  • Tracheomalacia (etiology)
  • Tracheotomy (adverse effects)

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: