Severe tracheal stenosis after short-term endotracheal intubation: A case report

2020 ◽  
2021 ◽  
Vol 39 (3) ◽  
pp. 205-208
Author(s):  
Nirmal Kanti Sarkar ◽  
Anwarul Anam Kibria

Among different causes of acquired tracheal stenosis, endotracheal intubation is the commonest one. Though usually occurs after prolonged intubation or tracheostomy, tracheal stenosis may even develop following short duration of intubation. Patients commonly present with cough, wheeze, breathlessness and stridor which often mimics bronchial asthma, hence leads to a delay in diagnosis, as features may appear months to year after the procedure or even patients may remain undiagnosed especially when history is misleading. In this report we present a 28-year-old lady having an untold history of endotracheal intubation with asthma-like features who was getting treatment accordingly. With a gradually deteriorating clinical condition, she underwent our consultation. Repeated history, review of previous medical records, and necessary investigations made us establishing the confirmatory diagnosis. Prompt intervention relieved her symptoms. J Bangladesh Coll Phys Surg 2021; 39(3): 205-208


2012 ◽  
Vol 19 (3) ◽  
pp. 154-159
Author(s):  
Ilona Šuškevičienė ◽  
Tomas Bukauskas ◽  
Aurika Karbonskienė ◽  
Andrius Macas

Nowadays intubation is thought to be a safe, routine and life-saving pro­ cedure. Prolonged endotracheal intubation can result in fibrin deposits and predispose to the development of tracheal stenosis. The most com­ mon site for the occurrence of intubation-induced tracheal damage is at the area in contact with the inflatable cuff. We demonstrate the case re­ port that such injuries may lead to serious complications such as tracheal and laryngeal stenosis. The treatment is quite difficult and associated with significant risk and complications.


2017 ◽  
Vol 10 (4) ◽  
pp. 331-334
Author(s):  
Halina Sienkiewicz-Jarosz
Keyword(s):  

Author(s):  
Dr. Rangarajan B. ◽  
Dr. Muralidhara .

Gridhrasi (Sciatica) is a disorder in which low back pain is found, that spreads through the hip, to the back of the thigh and down the inside of the leg. Mechanical low back pain (LBP) remains the second most common symptom related reason for seeing a physician. 85% of total population will experience an episode of mechanical LBP at some point during their lifetime. Fortunately, the LBP resolves for the vast majority within 2-4 weeks. There are many causes for low back pain, however true sciatica is a symptom of inflammation or compression of the sciatica nerve. The sciatica nerve carries impulses between nerve roots in the lower back and the muscles and nerve of the buttocks, thighs and lower legs. Compression of a nerve root often occurs as a result of damage to one of the discs between the vertebrae. In some cases, sciatic pain radiate from other nerves in the body. This is called referred pain. Pain associated with sciatica often is severe, sharp and shooting. It may be accompanied by other symptom, such as numbness, tingling, weakness and sensitivity to touch. There is only conservative treatment giving short term relief in pain or surgical intervention with side effect. But these are not successful and therefore those who are suffering from this are always in search of result oriented remedy. Walking distance and SLR test were taken for assessment parameter, VAS score was adopted for pain. Before treatment patient was not able to walk even 4 to 5 steps due to severe pain, was brought on stretcher and his SLR was 30° of right side. After 22 days of treatment he was able to walk up to 500 meters without any difficulty, SLR was changed to 60° and patient had got 80 % relief in pain. This case report showed that Ayurvedic protocol is potent and safe in the treatment of Gridhrasi.


2018 ◽  
Vol 50 (2) ◽  
pp. 653-654
Author(s):  
F. Rodríguez-Mora ◽  
E.M. Cantero-Pérez ◽  
C.A. Rojas-Bermúdez ◽  
J.M. Borrego-Domínguez ◽  
Á. Herruzo-Avilés ◽  
...  

2021 ◽  
pp. 1753495X2199022
Author(s):  
Edward J Miller ◽  
Emily YS Huning

The case presented details an uncommon case of subglottic tracheal stenosis exacerbated by pregnancy. We outine the multidisciplinary management involved and the outcomes for the pregnancy. The case serves as a reminder that shortness of breath in pregnancy has a broad differential diagnosis, and stridor is always abnormal.


2019 ◽  
Vol 67 (2) ◽  
pp. 103-106
Author(s):  
Eliane Ayoub ◽  
Viviane Chalhoub ◽  
Joanna Tohme ◽  
Hisham Jabbour ◽  
Antoine Abi Lutfallah ◽  
...  

2015 ◽  
Vol 100 (4) ◽  
pp. 589-592 ◽  
Author(s):  
Lei Pang ◽  
Yan-Hua Feng ◽  
Hai-Chun Ma ◽  
Su Dong

In the event of a high degree of airway obstruction, endotracheal intubation can be impossible and even dangerous, because it can cause complete airway obstruction, especially in patients with high tracheal lesions. However, a smaller endotracheal tube under the guidance of a bronchoscope can be insinuated past obstructive tumor in most noncircumferential cases. Here we report a case of successful fiberoptic bronchoscopy-assisted endotracheal intubation in a patient undergoing surgical resection of a large, high tracheal tumor causing severe tracheal stenosis. A 42-year-old Chinese man presented with dyspnea, intermittent irritable cough, and sleep deprivation for one and a half years. X-rays and computed tomography scan of the chest revealed an irregular pedunculated soft tissue mass within the tracheal lumen. The mass occupied over 90% of the lumen and caused severe tracheal stenosis. Endotracheal intubation was done to perform tracheal tumor resection under general anesthesia. After several failed conventional endotracheal intubation attempts, fiberoptic bronchoscopy-assisted intubation was successful. The patient received mechanical ventilation and then underwent tumor resection and a permanent tracheostomy. This case provides evidence of the usefulness of the fiberoptic bronchoscopy-assisted intubation technique in management of an anticipated difficult airway and suggests that tracheal intubation can be performed directly in patients with a tracheal tumor who can sleep in the supine position, even if they have occasional sleep deprivation and severe tracheal obstruction as revealed by imaging techniques.


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