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Acute Airway Obstruction (acute + airway_obstruction)

Distribution by Scientific Domains
Medical Sciences100%

Selected Abstracts

Acute airway obstruction in an infant with Pierre Robin syndrome after palatoplasty

ACTA ANAESTHESIOLOGICA SCANDINAVICA, Issue 6 2004
C. Dell'Oste
This report describes a complication of post-operative oedema of the palate, tongue and pharynx after a Perko-revised cleft palate repair, which resulted in a life-threatening airway obstruction in an infant with Pierre Robin syndrome. Although infants experiencing airway problems after Wardill,Kilner, von Langenbeck and Furlow palatoplasty have been described, airway complications in a group of Perko-revised repair children have not been previously reported. We speculate that this complication, which occurred in the absence of a history of previous airway problems, is due to prolonged operating time and excessive pressure exerted on the base of the tongue by the Kilner,Doughty retractor. Acknowledgments of this risk permits to identify those patients prior to surgery so that they can be managed appropriately. [source]

The prolonged use of the laryngeal mask airway in a neonate with airway obstruction and Treacher Collins syndrome

PEDIATRIC ANESTHESIA, Issue 6 2003
Martin J.L. Bucx MD
Summary Upper airway obstruction and difficult tracheal intubation are often encountered in patients with Treacher Collins syndrome (mandibulofacial dysostosis). In this case report, the use of a laryngeal mask airway (LMATM) in a 10-day-old newborn with severe Treacher Collins syndrome and acute airway obstruction is described. It successfully relieved the airway obstruction and was left in situ for an exceptionally long period of 4 days. The difficult decisions with respect to the management of the airway and specifically the role of the laryngeal mask are described. In our opinion, in some newborns with severe mandibulofacial disorders and upper airway obstruction, where conservative airway management procedures have failed, the laryngeal mask can be considered not only to relieve the obstruction but also to buy time until there is full insight into the medical condition and its consequences. [source]

GP guide to the assessment and management of croup

PRESCRIBER, Issue 16 2006
Sarah Brown MRCPCH
Croup is the commonest cause of acute airway obstruction in young children. Here the author describes its diagnosis and management in primary care and advises on when to admit for emergency treatment. Copyright © 2006 Wiley Interface Ltd [source]

Postobstructive Pulmonary Edema After Laryngospasm in the Otolaryngology Patient

THE LARYNGOSCOPE, Issue 9 2006
Vishvesh M. Mehta MD
Abstract Context: Post-obstructive pulmonary edema (PPE) is an uncommon complication which develops immediately after the onset of acute airway obstruction such as laryngospasm or epiglottitis (type I) or after the relief of chronic upper airway obstruction such as adenotonsillar hypertrophy (type II). Objective: To describe the development of type I PPE following laryngospasm in pediatric and adult patients undergoing otolaryngologic surgical procedures other than those for treatment of obstructive sleep apnea. Design: Retrospective case series of 13 otolaryngology patients from 1996 to 2003. Setting: Tertiary care teaching hospital and its affiliates. Patients: 13 patients (4 children, 9 adults, 5 males, 8 females) ranging in age from 9 months to 48 years. Results: Operative procedures included adenoidectomy, tonsillectomy, removal of an esophageal foreign body, microlaryngoscopy with papilloma excision, endoscopic sinus surgery, septorhinoplasty, and thyroidectomy. Six patients required reintubation. Treatment included positive pressure ventilation, oxygen therapy, and diuretics. Seven patients were discharged within 24 hours and the others were discharged between 2 and 8 days postoperatively. There were no mortalities. Conclusion: Laryngospasm resulting in PPE may occur in both children and adults after various otolaryngologic procedures. Among the subgroup of children, our study is the first to report its occurrence in healthy children without sleep apnea undergoing elective surgery. [source]