%0 Case Reports %T Stridor and severe subglottic stenosis: emergency tracheostomy for a neonate with a pinhole trachea. %A Ryan PJ %A Casby C %A Russell J %A Holt F %J BMJ Case Rep %V 17 %N 6 %D 2024 Jun 4 %M 38834313 暂无%R 10.1136/bcr-2024-259901 %X 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.