Modified endotracheal tube: emergency alternative to paediatric tracheostomy tube

2011 ◽  
Vol 125 (7) ◽  
pp. 729-731 ◽  
Author(s):  
M Kurien ◽  
R Raviraj ◽  
J Mathew ◽  
I Kaliaperumal ◽  
S Ninan
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Endotracheal Tube ◽  
Tracheostomy Tube ◽  
Relevant Literature ◽  
Emergency Situation ◽  
Age Group ◽  
Simple Alternative ◽  
Paediatric Age ◽  
Partial Cricotracheal Resection

AbstractBackground:In an emergency, the non-availability of a conventional paediatric tracheostomy tube is a therapeutic challenge for the attending surgeon.Objective:To describe a simple alternative to a paediatric tracheostomy tube for use in an emergency situation.Method:Case report of a 14-year-old boy who developed tracheomalacia following partial cricotracheal resection for subglottic stenosis. As a suitably sized tracheostomy tube (with a long narrow segment) was not available, an endotracheal tube was modified and used successfully. Details of the modification, and a relevant literature review, are also discussed.Conclusion:In the paediatric age group, when an appropriately sized tracheostomy tube is not available, a modified endotracheal tube is a simple temporary alternative; this may be especially useful in an emergency.

scholarly journals Methotrexate Treatment in Children with Febrile Ulceronecrotic Mucha-Habermann Disease: Case Report and Literature Review

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Isil Bulur ◽  
Hilal Kaya Erdoğan ◽  
Zeynep Nurhan Saracoglu ◽  
Deniz Arık
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Relevant Literature ◽  
High Fever ◽  
Age Group ◽  
Pediatric Age ◽  
Pityriasis Lichenoides ◽  
Pediatric Age Group ◽  
Disease Case ◽  
Methotrexate Treatment

Febrile Ulceronecrotic Mucha-Habermann disease is a rare and potentially fatal variant of pityriasis lichenoides et varioliformis acuta and is characterized by high fever, constitutional symptoms, and acute oncet of ulceronecrotic lesions. We present an 11-year-old male with Febrile Ulceronecrotic Mucha-Habermann disease who was cured with methotrexate and review the use of methotrexate for this disorder in the pediatric age group with the relevant literature.

scholarly journals Bronchoesophageal fistula secondary to esophageal diverticulum in an adult: a case report and literature review

2021 ◽  
Vol 49 (2) ◽  
pp. 030006052199223
Author(s):  
Xiaolin Zhang ◽  
Hongmei Jiao ◽  
Xinmin Liu
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Respiratory Infections ◽  
Relevant Literature ◽  
Rare Condition ◽  
Clinical Entity ◽  
Rare Clinical Entity ◽  
Esophageal Diverticulum ◽  
Bronchoesophageal Fistula ◽  
Fatal Complications

Esophageal diverticulum with secondary bronchoesophageal fistula is a rare clinical entity that manifests as respiratory infections, coughing during eating or drinking, hemoptysis, and sometimes fatal complications. In the present study, we describe a case of bronchoesophageal fistula emanating from esophageal diverticulum in a 45-year-old man who presented with bronchiectasis. We summarize the characteristics of this rare condition based on a review of the relevant literature.

Should pulmonary radiographs be taken routinely following paediatric tracheostomy?

2021 ◽  
pp. 021849232110063
Author(s):  
Nazik Yener ◽  
Muhammed Üdürgücü ◽  
Fatma Alaçam ◽  
Muhammed Şükrü Paksu ◽  
İrem Sarı ◽  
...  
Keyword(s):  
High Risk ◽  
Tracheostomy Tube ◽  
Risk Groups ◽  
Age Group ◽  
Paediatric Radiology ◽  
Surgical Tracheostomy ◽  
Emergency Tracheostomy ◽  
New Findings ◽  
Paediatric Age ◽  
Study Support

Aim As the rates of complications related to tracheostomy procedures have fallen in recent years, the routine taking of pulmonary radiographs following tracheostomy has become a matter of debate. The aim of this study was to compare the incidence of complications developing in 120 children who had pulmonary radiographs taken following surgical tracheostomy and to thereby evaluate the necessity of routine pulmonary radiographs after tracheostomy. Methods The data were retrospectively reviewed of 120 children who had pulmonary radiographs taken following surgical tracheostomy between January 2012 and January 2018. The pulmonary radiographs taken before and immediately after tracheostomy were evaluated independently by two paediatric radiology specialists and the results were recorded. Results The incidence of complications after tracheostomy was determined as 23.3%, and no pneumothorax was determined in any patient. An increase was not seen in the complication incidence in those who had undergone emergency tracheostomy and patients aged < 2 years, which are accepted as high-risk groups. In the evaluation of the pre- and post-tracheostomy radiographs, new findings were determined on the post-tracheostomy radiograph that had not been there previously in eight patients (6.6%). These findings were newly formed infiltration in seven patients (5.8%), and malposition of the tracheostomy tube in one patient (0.8%). No pathology requiring intervention was determined on the radiographs of any patient. Conclusion The results of this study support the view that it is not necessary to take pulmonary radiographs routinely following tracheostomy in the paediatric age group, including those at higher risk.

scholarly journals Meconium periorchitis: A case report and literature review

2013 ◽  
Vol 7 (7-8) ◽  
pp. 495 ◽  
Author(s):  
Ammar Hameed Alanbuki ◽  
Ashwith Bandi ◽  
Nick Blackford
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Rare Disease ◽  
Relevant Literature ◽  
Plain Film ◽  
Meconium Peritonitis ◽  
Histological Features ◽  
Abdominal Plain Film ◽  
Scrotal Ultrasound

Meconium periorchitis (MPO) is an uncommon entity associated with healed meconium peritonitis. The typical presentation is a soft hydrocele at birth which becomes harder in weeks as the meconium calcifies. A lack of awareness of this rare disease may lead to unnecessary surgery of scrotal masses. It can resolve spontaneously without compromising the testicle. Scrotal ultrasound is the mainstay of imaging and abdominal plain film is less sensitive but can help in the diagnosis. We report a case of a meconium periorchitis and discuss its radiological and histological features. We also review the relevant literature.

Isolated Gastric Outlet Obstruction - Sequelae of Corrosive Ingestion in Paediatric Age-Group: Literature Review

2016 ◽  
Vol 4 (3) ◽  
pp. 163-166
Author(s):  
Charu Tiwari ◽  
◽  
Shalika Jayaswal ◽  
Kiran Khedkar ◽  
Deepa Makhija ◽  
...  
Keyword(s):  
Literature Review ◽  
Gastric Outlet Obstruction ◽  
Outlet Obstruction ◽  
Age Group ◽  
Paediatric Age ◽  
Corrosive Ingestion

scholarly journals Pediatric Isolated Sinonasal Schwannoma: A New Case Report and Literature Review

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Xiao-Hui Ma ◽  
Hai-Chun Zhou ◽  
Can Lai ◽  
Kun Zhu ◽  
Xuan Jia
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Nasal Cavity ◽  
Maxillary Sinus ◽  
Paranasal Sinuses ◽  
Pediatric Patients ◽  
Age Group ◽  
Pediatric Age ◽  
Pediatric Age Group ◽  
Group A

Schwannomas of the paranasal sinus are uncommon. Less than 4% of schwannomas involve the nasal cavity and paranasal sinuses, even less in the pediatric age group. A case of schwannoma arising in maxillary sinus in a 2.5-year-old Chinese boy is reported. The basis for discussion of this case is the exceptional rarity of sinonasal schwannoma in pediatric patients.

scholarly journals Hydrogen Peroxide Induced Colitis: A Case Report and Literature Review

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Dushyant Pawar ◽  
Anna Calara ◽  
Roy Jacob ◽  
Nancy Beck ◽  
Alan N. Peiris
Keyword(s):  
Hydrogen Peroxide ◽  
Case Report ◽  
Literature Review ◽  
Recovery Period ◽  
Vital Signs ◽  
Oral Intake ◽  
Bloody Diarrhea ◽  
Age Group ◽  
Pediatric Age Group ◽  
Mucosal Thickening

Constipation is a common condition. Hydrogen peroxide enemas have rarely been reported as a home remedy for constipation in the pediatric age group. We present a case report and literature review of hydrogen peroxide induced colitis in pediatric siblings, aged 2 years and 9 years. The siblings presented with vomiting and bloody diarrhea an hour following the enema. Physical exam, vital signs, blood, and electrolyte counts were normal, but CT scans showed mucosal thickening of the rectum and colon. Their symptoms resolved after oral intake was curtailed and fluids were replaced intravenously. We discuss existing reports of complications from hydrogen peroxide enemas. Patients may present with abdominal pain and bloody diarrhea. Onset of symptoms varied from minutes to a day and bowel ulceration with necrosis and perforation has occurred, although fatality is rare. Diagnostic tests included computed tomography (CT) scan, sigmoidoscopy, or biopsy. Recovery period ranged from 3 days to 8 months. Public education regarding the dangers of hydrogen peroxide enemas is needed.

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