Troubleshooting of Unusual and Challenging Presentation in Pediatric Airway Emergency: A Case Series

Author:

Das K. Nidhin1,Sharma Vidhu1,Gupta Diksha1,Soni Kapil1,Katti Madhusudan2,Kaur Manbir3,Sharma Alok Kumar2,Kamal Manoj3,Sinha Arvind4,Goyal Amit1

Affiliation:

1. Department of Otorhinolaryngology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India

2. Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India

3. Department of Anaesthesiology and Critical Care, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India

4. Department of Pediatric Surgery, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India

Abstract

Abstract This case series explores three distinct pediatric airway complications and their successful management through innovative on-table procedures. The first case involves a 10-month-old male baby who presented with a broken tracheostomy tube lodged within the trachea as a foreign body. The second case features a 5‐year‐old boy with left main bronchus stenosis, while the third case highlights an 8‐year‐old girl with subglottic and mid‐tracheal stenosis. In each case, conventional treatment options posed significant challenges due to the unique nature of the airway obstructions. However, the medical teams demonstrated remarkable ingenuity by implementing on-table innovations to address these critical situations. The cases were approached with a combination of advanced imaging, real-time decision-making, and tailored interventions. This case series underscores the importance of adaptability and creative problem-solving in pediatric airway emergencies. Through these cases, we showcase the potential for successful outcomes when health-care professionals utilize on-table innovation, enabling them to swiftly and effectively manage complex pediatric airway complications, ultimately improving patient outcomes and quality of life. These experiences offer valuable insights for medical practitioners facing similar challenging scenarios in their clinical practice.

Publisher

Medknow

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