Lower airway obstruction in the PICU

1990 ◽  
Vol 57 (2) ◽  
pp. 159-168 ◽  
Author(s):  
Susan A. Kecskes ◽  
N. Janakiraman
Keyword(s):  
Airway Obstruction ◽  
Lower Airway ◽  
Lower Airway Obstruction

scholarly journals Elective Use of Veno-venous Extracorporeal Membrane Oxygenation and High-flow Nasal Oxygen for Resection of Subtotal Malignant Distal Airway Obstruction

2017 ◽  
Vol 45 (1) ◽  
pp. 88-91 ◽  
Author(s):  
R. K. F. Fung ◽  
J. Stellios ◽  
P. G. Bannon ◽  
A. Ananda ◽  
P. Forrest
Keyword(s):  
Extracorporeal Membrane Oxygenation ◽  
Airway Obstruction ◽  
Significant Risk ◽  
Malignant Tumour ◽  
High Flow ◽  
Lower Airway ◽  
Membrane Oxygenation ◽  
Distal Airway ◽  
Lower Airway Obstruction ◽  
Induction Of Anaesthesia

We describe the use of peripheral veno-venous extracorporeal membrane oxygenation (VV ECMO) and high-flow nasal oxygen as procedural support in a patient undergoing debulking of a malignant tumour of the lower airway. Due to the significant risk of complete airway obstruction upon induction of anaesthesia, ECMO was established while the patient was awake, and was maintained without systemic anticoagulation to minimise the risk of intraoperative bleeding. This case illustrates that ECMO support with high-flow nasal oxygen can be considered as part of the algorithm for airway management during surgery for subtotal lower airway obstruction, as it may be the only viable option for maintaining adequate gas exchange.

scholarly journals LOWER AIRWAY OBSTRUCTION: A UNIQUE CASE OF TRACHEAL STENOSIS IN A LUPUS PATIENT

CHEST Journal ◽  
2020 ◽  
Vol 158 (4) ◽  
pp. A2573
Author(s):  
Myrian Vinan Vega ◽  
Barbara Mantilla ◽  
Ximena Solis ◽  
Andres Yepes Hurtado
Keyword(s):  
Airway Obstruction ◽  
Tracheal Stenosis ◽  
Lupus Patient ◽  
Lower Airway ◽  
Unique Case ◽  
Lower Airway Obstruction

Mechanisms of viral-induced lower airway obstruction

1987 ◽  
Vol 6 (9) ◽  
pp. 837-842 ◽  
Author(s):  
JEFFREY J. SMITH ◽  
RICHARD J. LEMEN ◽  
LYNN M. TAUSSIG
Keyword(s):  
Airway Obstruction ◽  
Lower Airway ◽  
Lower Airway Obstruction

Paediatric tracheostomy

1987 ◽  
Vol 101 (9) ◽  
pp. 929-935 ◽  
Author(s):  
W. J. Newlands ◽  
W. S. McKerrow
Keyword(s):  
Airway Obstruction ◽  
Complication Rate ◽  
Acute Infection ◽  
Nasotracheal Intubation ◽  
Lower Airway ◽  
Artificial Airway ◽  
Long Duration ◽  
Nasotracheal Tube ◽  
Successful Employment ◽  
Lower Airway Obstruction

AbstractFifty-seven operations on 53 patients represents the total experience of tracheostomy in children under 13 years during 1964–1985 in an area with half a million inhabitants. No complications occurred during surgery and no deaths were related to the operations. Complications followed 16 out of 30 (53%) operations on children under three years and four out of 27 (15%) of the remainder, an overall complication rate of 35%. Many fewer operations have been required since 1973 because of the successful employment of nasotracheal intubation in the treatment of upper and lower airway obstruction caused by acute infection. Obstruction by-pass remains the commonest function of tracheostomy, with congenital lesions and trauma now the commonest causes of obstruction as opposed to acute infection in the earlier years. Despite the successful use of nasotracheal intubation there were absolute indications for tracheostomy—blockage of the nasotracheal tube; inability to intubate a child with epiglottitis; and necessity for an artificial airway of long duration.

Prevalence and reversibility of lower airway obstruction in children with sickle cell disease

2001 ◽  
Vol 138 (2) ◽  
pp. 188-192 ◽  
Author(s):  
Anastassios C. Koumbourlis ◽  
Heather J. Zar ◽  
Anne Hurlet-Jensen ◽  
Michael R. Goldberg
Keyword(s):  
Sickle Cell Disease ◽  
Airway Obstruction ◽  
Sickle Cell ◽  
Lower Airway ◽  
Cell Disease ◽  
Lower Airway Obstruction

Congenital Stridor

2001 ◽  
Vol 20 (4) ◽  
pp. 63-66 ◽  
Author(s):  
Joan Gatz
Keyword(s):  
Airway Obstruction ◽  
Upper Airway ◽  
Tracheobronchial Tree ◽  
Upper Airway Obstruction ◽  
Lower Airway ◽  
Variable Pitch ◽  
Turbulent Airflow ◽  
Lower Airway Obstruction

AHARSH, VIBRATING SOUND OF variable pitch, stridor implies partial airway obstruction resulting in turbulent airflow through a narrowed segment of airway.1 Stridor is characteristically heard on inspiration, suggesting airway obstruction above the glottis in either the larynx or the pharynx.2 Infants with upper-airway obstruction typically demonstrate prolonged inspiration.3 Expiratory stridor suggests lower-airway obstruction in the intrathoracic tracheobronchial tree.2 Stridor may also manifest as biphasic (both inspiratory and expiratory), usually indicating midtracheal lesions.4

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