Subglottic stenosis after thoracotomy--a case report.

Lin, Bo-Feng; Lee, Shih-Chun; Kao, Chuan-Hsiang; Tsung, Yu-Chi; Kuo, Chang-Po; Wong, Chih-Shung; Wu, Ching-Tang

Lin, Bo-Feng; Lee, Shih-Chun; Kao, Chuan-Hsiang; Tsung, Yu-Chi; Kuo, Chang-Po; Wong, Chih-Shung; Wu, Ching-Tang.

Afiliación

Lin BF; Department of Anesthesiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC.

Acta Anaesthesiol Taiwan ; 45(1): 59-62, 2007 Mar.

Article en En | MEDLINE | ID: mdl-17424762

RESUMEN

Traumatic intubation, reintubation, intubation with endotracheal tube of inappropriate size, and failure to firmly secure the tube may contribute to the development of subglottic stenosis. Systemic factors such as sepsis, hypotension, autoimmune and granulomatous disorders have all been implicated as contributing causes. In addition, a risky circumstance that might be considered important in the development of airway damage is the occurrence of gastreoesophageal reflux (GER), particularly in thoracotomy operations, where the patients are placed in the lateral position. The purpose of this report is to describe a patient who developed subglottic stenosis following a thoracotomy. The possible causes are macrotrauma due to multiple intubations and microtrauma due to inappropriate tube size in the course of anesthesia. Furthermore, GER may worsen mucosal injuries, which may be precipitated by the lateral position.

Asunto(s)

Intubación Intratraqueal/efectos adversos; Laringoestenosis/etiología; Toracotomía/efectos adversos; Anciano; Femenino; Glotis; Humanos; Postura

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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Toracotomía / Laringoestenosis / Intubación Intratraqueal Límite: Aged / Female / Humans Idioma: En Revista: Acta Anaesthesiol Taiwan Asunto de la revista: ANESTESIOLOGIA Año: 2007 Tipo del documento: Article Pais de publicación: China

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