关键词: Anaesthesia Congenital disorders Ear, nose and throat/otolaryngology Neonatal and paediatric intensive care

Mesh : Humans Tracheostomy Infant, Newborn Respiratory Sounds / etiology Laryngostenosis / surgery Trachea / surgery abnormalities Male Intubation, Intratracheal / methods

来  源:   DOI:10.1136/bcr-2024-259901

Abstract:
Congenital subglottic stenosis is a rare but potentially catastrophic condition. In this report, we describe the management of a term neonate who was noted to have biphasic stridor during preassessment for correction of an imperforate anus at 26 hours of life. The neonate was found to have a pinhole trachea secondary to congenital subglottic stenosis. It was impossible to pass an endotracheal tube, so the neonate underwent an emergency surgical tracheostomy with a good outcome. A high index of suspicion led to appropriate steps being taken to safely anaesthetise the neonate.
摘要:
先天性声门下狭窄是一种罕见但潜在的灾难性疾病。在这份报告中,我们描述了在出生后26小时内矫正肛门无孔的预评估过程中发现患有双相喘鸣的新生儿的治疗方法.发现新生儿患有先天性声门下狭窄继发的针孔气管。不可能通过气管导管,因此,新生儿接受了紧急外科气管切开术,效果良好。高度怀疑导致采取适当措施安全麻醉新生儿。
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