Department of Anaesthesia and Intensive Care Medicine, Children's Health Ireland at Crumlin, Dublin, Ireland
Department of Anaesthesia and Intensive Care Medicine, Children's Health Ireland at Crumlin, Dublin, Ireland.
BMJ Case Rep. 2024 Jun 4;17(6):e259901. doi: 10.1136/bcr-2024-259901.
Congenital subglottic stenosis is a rare but potentially catastrophic condition. In this report, we describe the management of a term neonate who was noted to have biphasic stridor during preassessment for correction of an imperforate anus at 26 hours of life. The neonate was found to have a pinhole trachea secondary to congenital subglottic stenosis. It was impossible to pass an endotracheal tube, so the neonate underwent an emergency surgical tracheostomy with a good outcome. A high index of suspicion led to appropriate steps being taken to safely anaesthetise the neonate.
先天性声门下狭窄是一种罕见但潜在的灾难性疾病。在本报告中，我们描述了一名足月新生儿的管理，该新生儿在出生后 26 小时因肛门闭锁接受矫正术的预评估中出现双相喘鸣。该新生儿被发现存在因先天性声门下狭窄导致的针孔状气管。插入气管内导管是不可能的，因此该新生儿接受了紧急手术气管切开术，结果良好。高度怀疑导致采取了适当措施，以安全麻醉新生儿。
