Saigal Deepti, Ganjoo Pragati, Sharma Megha U, Singh Daljit
Department of Anaesthesiology and Intensive Care, GB Pant Institute of Postgraduate Medical Education and Research, New Delhi, India.
Department of Neurosurgery, GB Pant Institute of Postgraduate Medical Education and Research, New Delhi, India.
J Pediatr Neurosci. 2016 Oct-Dec;11(4):335-337. doi: 10.4103/1817-1745.199472.
Stridor is a serious complication of congenital neuraxial anomalies, which though, can get completely resolved with early neurosurgical correction of the anomaly. However, stridor relief may or may not be achieved soon after surgery. Persistent postoperative stridor can potentially cause extubation failure that may be difficult to handle in small children. There are no extubation guidelines for difficult pediatric airways as yet, and fewer appropriate airway-assist devices for routine use. Management of an infant with occipital encephalocele, hydrocephalus and bilateral abductor vocal cord palsy, who developed post-extubation respiratory distress due to stridor is discussed, together with the relevant tracheal extubation issues in such cases.
喘鸣是先天性神经管异常的一种严重并发症，不过，通过对该异常进行早期神经外科矫正，喘鸣可完全消除。然而，术后喘鸣缓解情况可能会很快出现，也可能不会。术后持续性喘鸣可能导致拔管失败，这在小儿中可能难以处理。目前尚无针对小儿困难气道的拔管指南，且常规使用的合适气道辅助装置较少。本文讨论了一名患有枕部脑膨出、脑积水和双侧声带外展麻痹的婴儿，该婴儿因喘鸣出现拔管后呼吸窘迫，以及此类病例中相关的气管拔管问题。
