Related Experiment Video
Updated: Mar 7, 2026
08:26
The Rigid Tube as an Alternative in Controlling the Problematic Airway
Published on: June 6, 2020
7.0K
Unsuspected subglottic web in a child managed for severe respiratory obstruction
Reena1, Arun Kumar1, Shrawin Kumar Singh2
1Department of Anaesthesiology, Heritage Institute of Medical Sciences, Varanasi, Uttar Pradesh, India.
Saudi Journal of Anaesthesia
|February 21, 2017
Summary
Subglottic stenosis, a narrowing of the airway, can occur after prolonged intubation in children. Prompt diagnosis and intervention are crucial for severe respiratory obstruction cases.
Area of Science:
- Pediatric Otolaryngology
- Critical Care Medicine
Background:
- Subglottic stenosis is a recognized complication of traumatic and prolonged endotracheal intubation.
- The pediatric subglottic region is anatomically narrower, increasing susceptibility to injury from endotracheal tubes.
Observation:
- A 4-year-old child presented with severe respiratory obstruction following invasive ventilation for aspiration pneumonitis.
- Direct laryngoscopy revealed severe subglottic narrowing due to a subglottic web, rendering intubation impossible.
Findings:
- Emergency tracheostomy was performed to secure the airway.
- Microlaryngeal surgery successfully removed the subglottic web, addressing the obstruction.
Implications:
- Acquired subglottic stenosis in children is a life-threatening emergency requiring immediate airway management.
- Clinical suspicion is warranted in children with severe respiratory obstruction and a history of prolonged intubation.
Related Concept Videos
01:30Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
716
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...
716
01:22Trachea
5.6K
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...
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...
5.6K
01:22Cardiopulmonary Resuscitation II: ACLS Airway Management
845
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
845
01:17Pulmonary Cycle: Exhalation
4.4K
In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
4.4K
01:26Esophageal Strictures-II: Clinical Features and Management
811
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
811
01:17Endotracheal Intubation II: Nursing Management
3.1K
Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
3.1K