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Paediatric anaesthesia · Sep 2018
Case ReportsPediatric tracheomalacia and the perioperative anesthetic management of thoracoscopic posterior tracheopexy.
- Melissa M Masaracchia, David M Polaner, Jeremy D Prager, Emily M DeBoer, Lindel C Dewberry, Stig Somme, Todd Wine, and Norah R Janosy.
- Department of Anesthesiology, Section of Pediatric Anesthesiology, Children's Hospital Colorado, University of Colorado, Aurora, CO, USA.
- Paediatr Anaesth. 2018 Sep 1; 28 (9): 768-773.
AbstractTracheomalacia is a broad term used to describe an abnormally compliant trachea that can lead to exaggerated collapse and obstruction with expiration. We describe the perioperative management of a complex pediatric patient undergoing a posterior tracheopexy which is a relatively new surgical treatment, with a novel surgical approach-thoracoscopy. This procedure has competing surgical and anesthetic needs and presents unique challenges to the physicians involved in caring for these patients. We also review the current literature on pediatric tracheomalacia and examine the newest treatment options to highlight the potential anesthetic challenges and pitfalls associated with management.© 2018 John Wiley & Sons Ltd.
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