• Paediatric anaesthesia · Jan 2005

    A rare tracheal lesion.

    • Craig Walter Birch and Lesley Joan Salkeld.
    • Department of Anaesthesia, Middlemore Hospital, Otahuhu, Auckland, New Zealand. cbirch@middlemore.co.nz
    • Paediatr Anaesth. 2005 Jan 1;15(1):73-6.

    AbstractWe report a potentially life-threatening tracheal lesion that caused postextubation stridor in a child following dental surgery. The child developed a cough, dysphonia, stridor, and respiratory distress hours after his operation. Standard therapy for postextubation stridor was ineffective. A lateral neck X-ray suggestive of subglottic pathology prompted an endoscopy. This revealed a fibrinous membrane that was attached to the anterior trachea and required mechanical ablation. The child made an uneventful recovery. This lesion has not been reported in children before and we believe that it is important in the differential diagnosis of postextubation stridor as it requires specific therapy.

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