RESUMEN
Subglottic stenosis (SGS) in pregnancy is rare but may cause a potentially life-threatening delivery and is a challenge to the anaesthetist and the obstetrician. Clinical signs of SGS may not be obvious and the diagnosis can be difficult. Patients usually present with shortness of breath rather than stridor. Many patients have been wrongly diagnosed with asthma and recurrent bronchitis before subsequent discovery of a SGS. Early diagnosis of SGS and multidisciplinary input is important in managing these patients. We present a case of a pregnant woman with a history of Wegener's granulomatosis and the successful multidisciplinary management of her SGS.
Asunto(s)
Laringoestenosis/diagnóstico , Complicaciones del Embarazo/diagnóstico , Adulto , Femenino , Granulomatosis con Poliangitis/complicaciones , Humanos , Laringoestenosis/etiología , Laringoestenosis/fisiopatología , Laringoestenosis/cirugía , Terapia por Láser , Embarazo , Complicaciones del Embarazo/cirugía , Mecánica RespiratoriaRESUMEN
The Basic Airway Model is an airway manikin designed for training in mask ventilation. We investigated the ability of the Basic Airway Model to provide varying levels of difficulty for mask ventilation. Volunteers with three levels of experience (novice, intermediate and expert) attempted to ventilate the manikin at three levels of difficulty: easy, intermediate and difficult. The distribution of frequencies of successful ventilation by different groups at the three levels of difficulty were statistically significant (p < 0.0001). The median (IQR (range)) degree of difficulty was 3 (2-5 (1-7)), 4 (3-5.3 (2-7)) and 6 (5-7 (3-9)) for easy, intermediate and difficult settings, respectively. We conclude that the Basic Airway Model can provide different levels of difficulty for mask ventilation training.