Airway Obstruction Secondary to Rhinoscleroma during Pregnancy

1995 ◽  
Vol 74 (11) ◽  
pp. 768-773 ◽  
Author(s):  
William B. Armstrong ◽  
Steven P. Peskind ◽  
Kyle L. Bressler ◽  
Dennis M. Crockett
Keyword(s):  
Airway Management ◽  
Airway Obstruction ◽  
Nasal Congestion ◽  
Treatment Options ◽  
Upper Airway ◽  
Pregnant Patient ◽  
Review Of The Literature ◽  
The Third ◽  
Common Complaint ◽  
Healthy Infants

Dyspnea is a fairly common complaint during pregnancy. However, if one excludes allergic nasal congestion of pregnancy, upper airway obstruction is a distinctly uncommon cause of dyspnea in the pregnant patient. Three cases of laryngeal rhinoscleroma in pregnant women requiring tracheostomy for airway management are reported. All three delivered healthy infants vaginally. Postpartum, two of the three were successfully decannulated, while the third became pregnant again before decannulation was accomplished. Treatment options and a review of the literature are presented.

Airway management in vascular central airway obstruction: a literature review

2021 ◽  
Keyword(s):  
Literature Review ◽  
Airway Management ◽  
Airway Obstruction ◽  
Preoperative Planning ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Surgical Reconstruction ◽  
Central Airway Obstruction ◽  
Central Airway

Vascular central airway obstruction (CAO) is a rare cause of upper airway obstruction in adults. CAO occurs below the level where it is invisible in a laryngoscope. Doctors therefore should pay attention to the possibilities of vascular CAO when attempting to prevent and resolve catastrophic complications from upper airway obstruction such as cardiorespiratory collapse and hemoptysis, which requires a thoughtful preoperative planning of airway management before starting a surgical reconstruction.

Success of placement and complications during v-gel placement and maintenance of anaesthesia

2021 ◽  
pp. 1098612X2110506
Author(s):  
Kathrin Hecker-Turkovic ◽  
Katrin Hartmann ◽  
René Dörfelt
Keyword(s):  
Clinical Study ◽  
Airway Management ◽  
Airway Obstruction ◽  
Endotracheal Intubation ◽  
Laryngeal Mask ◽  
Prospective Clinical Study ◽  
Laryngeal Masks ◽  
The Third ◽  
Dorsal Position

Objectives Airway management during anaesthesia in cats is always a demanding task and is associated with several complications. The aim of this study was to evaluate the practicability and complications during feline-specific laryngeal mask placement in anaesthetised cats as an alternative to endotracheal intubation. Methods In this prospective clinical study, laryngeal masks were placed in 148 anaesthetised cats. Success of placement was evaluated by capnography. Results Placement was possible at the first attempt in 136 cats, at the second attempt in eight cats and at the third attempt in one cat. In one cat, placement was not possible. Two cats were excluded. Failure to position the laryngeal mask at the first attempt was not different between laryngeal mask sizes ( P = 0.313) or positioning during placement ( P = 0.406). In nine cats, the laryngeal mask dislocated during the procedure. Dislocation occurred more often in the dorsal position than in the sternal ( P = 0.018) and right lateral positions ( P = 0.046). Mucous obstruction of the laryngeal mask occurred in one of these cats and regurgitation in another. Material-related issues, such as disconnection of the parts of the laryngeal mask and leakage of the balloon, were observed in 2/8 laryngeal masks. Conclusions and relevance The placement of a feline-specific laryngeal mask was easy to perform. In about 7% of the cases, replacement of the device was required due to mispositioning or dislocation. Full monitoring, including capnography, should be provided to uncover dislocation and airway obstruction immediately.

A midline nasopharyngeal heterotopic neuroglial tissue

2006 ◽  
Vol 120 (7) ◽  
pp. 1-4 ◽  
Author(s):  
A Y Al-Ammar ◽  
H S Al Noumas ◽  
M Alqahtani
Keyword(s):  
Differential Diagnosis ◽  
Airway Obstruction ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Rare Disorder ◽  
Pathological Features ◽  
Review Of The Literature ◽  
Nasal Glioma ◽  
Glial Heterotopia

Glial heterotopia is a rare disorder. However, it must be considered in the differential diagnosis of airway obstruction in the newborn. Differentiation of this lesion from nasal glioma and encephalocele is important.In this paper we report a midline glial heterotopia, which presented with upper airway obstruction in a newborn. The origin of a glial heterotopia from the midline of the nasopharynx has not been reported before.We present a review of the literature and discuss the clinical, radiological and pathological features of nasopharyngeal brain heterotopia in an infant.

Treatment Modalities of Infants with Upper Airway Obstruction—Review of the Literature and Presentation of Novel Orthopedic Appliances

2011 ◽  
Vol 48 (1) ◽  
pp. 44-55 ◽  
Author(s):  
Janka Kochel ◽  
Philipp Meyer-Marcotty ◽  
Johannes Wirbelauer ◽  
Hartmut Böhm ◽  
Michael Kochel ◽  
...  
Keyword(s):  
Airway Obstruction ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Treatment Modalities ◽  
Review Of The Literature

scholarly journals Life-threatening oral mucositis following chemotherapy in a pediatric patient

2021 ◽  
Author(s):  
Kaoru Tsuboi ◽  
Norihiko Tsuboi ◽  
Kenichi Sakamoto ◽  
Akira Takebayashi ◽  
Daisuke Tomizawa ◽  
...  
Keyword(s):  
Airway Management ◽  
Airway Obstruction ◽  
Oral Mucositis ◽  
Pediatric Patients ◽  
Clinical Course ◽  
Upper Airway ◽  
Individual Case ◽  
Life Threatening ◽  
Severe Oral Mucositis ◽  
Case Basis

Pediatric patients undergoing chemotherapy may present upper airway obstruction due to severe oral mucositis. Although reversible, its clinical course correlates with the course of neutropenia and may be complicated. Thus, airway management in these patients must be determined on an individual case basis.

Modulation of upper airway muscle activities by bronchopulmonary afferents

2006 ◽  
Vol 101 (2) ◽  
pp. 609-617 ◽  
Author(s):  
E. Fiona Bailey ◽  
Ralph F. Fregosi
Keyword(s):  
Airway Obstruction ◽  
Upper Airway ◽  
Review Of The Literature ◽  
Lung Inflation ◽  
Hyoid Arch ◽  
Lack Of Information ◽  
Stretch Receptors ◽  
C Fiber ◽  
Pulmonary Stretch Receptors ◽  
Upper Airway Muscles

Here we review the influence of bronchopulmonary receptors (slowly and rapidly adapting pulmonary stretch receptors, and pulmonary/bronchial C-fiber receptors) on respiratory-related motor output to upper airway muscles acting on the larynx, tongue, and hyoid arch. Review of the literature shows that all muscles in all three regions are profoundly inhibited by lung inflation, which excites slowly adapting pulmonary stretch receptors. This widespread coactivation includes the recruitment of muscles that have opposing mechanical actions, suggesting that the stiffness of upper airway muscles is highly regulated. A profound lack of information on the modulation of upper airway muscles by rapidly adapting receptors and bronchopulmonary C-fiber receptors prohibits formulation of a conclusive opinion as to their actions and underscores an urgent need for new studies in this area. The preponderance of the data support the view that discharge arising in slowly adapting pulmonary stretch receptors plays an important role in the initiation of the widespread and highly coordinated recruitment of laryngeal, tongue, and hyoid muscles during airway obstruction.

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