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Revista Cubana de Anestesiología y Reanimación
versión On-line ISSN 1726-6718
Resumen
RODRIGUEZ PEREZ, Yuneyris y FERNANDEZ RAMOS, Humberto. Acquired subglottic stenosis in a pediatric surgical patient. Rev cuba anestesiol reanim [online]. 2014, vol.13, n.2, pp. 176-181. ISSN 1726-6718.
Introduction: subglottic stenosis is defined as partial or total narrowing of the subglottis, located at the cricoid cartilage level. Subglottic stenosis may be congenital or acquired. Objective: describe the disease and present the clinical characteristics and the management of a female patient with subglottic stenosis. Clinical case: a female patient with a history of prematurity and imperforate anus, and administration of endotracheal general anesthesia on numerous occasions for surgical procedures and postoperative mechanical ventilation, is presumptively diagnosed with acquired subglottic stenosis and referred to otorhinolaryngology consultation for study. Conclusions: pediatric patients with a history of intubation and prolonged mechanical ventilation should be suspected of acquired subglottic stenosis when insertion of an endotracheal cannula suitable for their age is not possible and they require several intubation attempts with decreasing diameters, even in the absence of clinical signs and symptoms.
Palabras clave : acquired subglottic stenosis in pediatrics.