Failure of intubation in acute inflammatory airway obstruction in childhood

1985 ◽  
Vol 99 (10) ◽  
pp. 993-998 ◽  
Author(s):  
Peter J. Robb

SummaryAt the present time, viral laryngotracheobronchitis. (LTB), and bacterial epiglottitis account for the majority of cases of acute infectious upper airway obstruction in children. This airway obstruction may become life-threatening and require relief either by tracheotomy or by nasotracheal intubation. Recently the trend has been away from tracheotomy and towards intubation. Three cases are reported in this paper, in which intubation by experienced anaesthetists proved impossible, and a life-saving tracheotomy was immediately performed by the otolaryngologist in attondance.It is recommended that an experienced otolaryngologist should always be present at the time of intubation, should it prove impossible, and the child require emergency tracheotomy to secure the airway.

1987 ◽  
Vol 101 (3) ◽  
pp. 293-295 ◽  
Author(s):  
M. Juhlin-Dannfelt ◽  
O. Densert

AbstractA laryngeal polyp caused a life-threatening airway obstruction in a 3-year-old child. This condition required an emergency tracheotomy, which was performed without previous intubation. The histological picture indicated the diagnosis of a teleangiectatic granuloma. No other case of solitary laryngeal polyp causing upper airway obstruction in a child has been previously reported.


2021 ◽  
Vol 7 (1) ◽  
pp. 205511692110059
Author(s):  
Michal Vlasin ◽  
Richard Artingstall ◽  
Barbora Mala

Case summary This paper presents two cases of acute postoperative upper airway obstruction following ventral bulla osteotomy (VBO) in cats. The first cat underwent a unilateral left-sided VBO for a suspected inflammatory polyp. The second cat underwent a single-session bilateral VBO procedure for bilateral otitis media. In the first case, immediate re-intubation and a gradual lightening of the anaesthetic plane resolved the clinical signs; in the second case, the patient deteriorated and went into acute cardiorespiratory arrest and received cardiopulmonary resuscitation. Both patients recovered well and were discharged home 3 days after surgery. Both cases were reported to show no further clinical signs on postoperative follow-up 3 weeks and 4 months after surgery, respectively. Relevance and novel information Upper airway obstruction should be regarded as a potential complication of VBO in cats.


2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Evan Harmon ◽  
Sebastian Estrada ◽  
Ryan J. Koene ◽  
Sula Mazimba ◽  
Younghoon Kwon

Upper airway obstruction is a potentially life-threatening emergency often encountered in the acute care, perioperative, and critical care settings. One important complication of acute obstruction is negative-pressure pulmonary edema (NPPE). We describe two cases of acute upper airway obstruction, both of which resulted in flash pulmonary edema complicated by acute hypoxic respiratory failure. Though NPPE was suspected, these patients were also found to have Takotsubo syndrome (TTS). Neither patient had prior cardiac disease, and both subsequently had a negative ischemic workup. Because TTS is a condition triggered by hyperadrenergic states, the acute airway obstruction alone or in combination with NPPE was the likely explanation for TTS in each case. These cases highlight the importance of also considering cardiogenic causes of pulmonary edema in the setting of upper airway obstruction, which we suspect generates a profound catecholamine surge and places patients at increased risk of TTS development.


2011 ◽  
Vol 22 (4) ◽  
pp. 1529-1531
Author(s):  
Abdullah Dalgic ◽  
Yusuf Hidir ◽  
A. Hakan Birkent ◽  
Abdullah Durmaz ◽  
Mustafa Gerek

2001 ◽  
Vol 94 (3) ◽  
pp. 532-534 ◽  
Author(s):  
Joseph W. Szokol ◽  
Barry L. Wenig ◽  
Glenn S. Murphy ◽  
Elizabeth Drezek

1996 ◽  
Vol 110 (6) ◽  
pp. 583-585 ◽  
Author(s):  
Noga Golan-Porat ◽  
Shlomo Lipitz ◽  
Moshe Porat ◽  
Reuwen Achiron

AbstractCongenital upper airway obstruction presents a life-threatening situation when encountered in the delivery room. We present a case in which in utero diagnosis of this malformation was suspected, but unfortunately the neonate did not survive due to the inability to provide adequate ventilation. The prenatal sonographic features of this rare malformation are outlined, and the literature reviewed.


2015 ◽  
Vol 25 (8) ◽  
pp. 864-865
Author(s):  
Emanuele Rossetti ◽  
Linda Appierto ◽  
Roberto Bianchi ◽  
Sergio Picardo

2015 ◽  
Vol 4 (4) ◽  
pp. 45
Author(s):  
Birgin Torer ◽  
Bilin Cetinkaya ◽  
Serkan Yılmaz ◽  
Cuneyt Yilmazer ◽  
Hande Gulcan

Vallecular cyst is a rare cause of stridor in neonates, which may present as a life threatening airway obstruction. Here, we report a preterm infant with a congenital vallecular cyst who presented with stridor and respiratory distress that developed immediately after birth. She was successfully treated with endoscopic marsupialization.


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