Department of Anesthesiology, Perioperative and Pain Medicine, Mount Sinai West And Morningside Hospitals, Mount Sinai Health System, New York, New York, USA.
Department of Anesthesiology, Perioperative and Pain Medicine, Mount Sinai West And Morningside Hospitals, Mount Sinai Health System, New York, New York, USA
BMJ Case Rep. 2021 Mar 24;14(3):e236466. doi: 10.1136/bcr-2020-236466.
Evaluation and management of subglottic stenosis in pregnancy is challenging. It often is not only a multidisciplinary approach between obstetricians, otolaryngologists (ENT surgeons) and anesthesiologists, but also requires a thorough understanding of possible foreseen complications by the patient as well. Hence, whenever we are presented with a challenging case requiring multidisciplinary approach involving team of physicians from different specialties, it is routine practice to huddle regarding the preoperative, intraoperative and postoperative management and care. We present a case of a 37-year-old woman with a known history of idiopathic subglottic stenosis, 16 weeks' pregnant, G4P1, with a surgical history significant for two previous subglottic dilations in the past and who now presented with an audible stridor and shortness of breath on activity. We highlighted the unique challenges encountered and the corresponding management adopted. This is a case of successful management of symptomatic worsening of subglottic stenosis managed during pregnancy.
评估和管理妊娠合并声门下狭窄具有挑战性。它通常不仅需要产科医生、耳鼻喉科医生（耳鼻喉科医生）和麻醉师之间的多学科方法，还需要患者对可能预见的并发症有透彻的了解。因此，每当我们遇到需要多学科方法的具有挑战性的病例，涉及来自不同专业的医生团队时，我们通常会就术前、术中及术后的管理和护理进行讨论。我们介绍了一个 37 岁女性的病例，她患有特发性声门下狭窄，已怀孕 16 周，G4P1，既往有两次声门下扩张的手术史，目前出现可闻及的喘鸣和活动时呼吸急促。我们强调了所遇到的独特挑战和所采用的相应管理。这是一例妊娠期间声门下狭窄症状恶化的成功管理病例。
