Related Experiment Video

Updated: Sep 28, 2026

The Rigid Tube as an Alternative in Controlling the Problematic Airway
08:26

The Rigid Tube as an Alternative in Controlling the Problematic Airway

Published on: June 6, 2020

Postintubation tracheal stenosis in an 11-year-old boy: a surgical and anaesthetic challenge

I M Aguilera1, R W M Walker, O R Dearlove

  • 1Department of Anaesthesia, The Royal Manchester Children's Hospital, Manchester, UK.

Paediatric Anaesthesia
|December 11, 2002
PubMed

Insights

A rare case of postintubation tracheal stenosis occurred in an 11-year-old boy after short-term ventilation. Treatment involved balloon dilatation, steroid injections, and tracheal reconstruction, highlighting anesthetic management challenges.

Area of Science:

  • Pediatric Critical Care Medicine
  • Otolaryngology
  • Anesthesiology

Background:

  • Postintubation tracheal stenosis (PITS) is a rare but serious complication following mechanical ventilation.
  • Early recognition and management are crucial to prevent severe respiratory compromise.

Observation:

  • An 11-year-old boy developed PITS after 48 hours of intubation and ventilation in a pediatric intensive care unit following a road traffic accident.
  • Symptoms included oxygen desaturation and wheezing, progressing to decreased consciousness, necessitating reintubation.

Findings:

  • Endoscopic examination confirmed tracheal stenosis.
  • The patient underwent conservative management with balloon dilatation and intralesional steroid injections, followed by tracheal resection and reconstruction.

Implications:

  • This case underscores the importance of vigilance for PITS even after short-term intubation in pediatric patients.
  • Effective anesthetic management is critical for procedures like laryngo-tracheobronchoscopy and balloon dilatation in patients with tracheal stenosis.

More Related Videos

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications04:43

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

Published on: March 15, 2024

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Trachea01:22

Trachea

The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of the...
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Endotracheal Intubation I: Procedure01:15

Endotracheal Intubation I: Procedure

Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway interventions are...
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...