Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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Conservative Management of Tracheal Injury After Endotracheal Intubation in a Neonate with Subglottic Stenosis and Esophageal Atresia with Tracheoesophageal Fistula

식도 폐쇄 및 기관식도루와 성대문밑협착을 동반한 신생아에서 기관 삽관후 발생한 기관 손상의 보존적치료 경험 1예

  • Jung, Eun-Young (Division of Pediatric Surgery, Department of Surgery, Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Choi, Soon-Ok (Division of Pediatric Surgery, Department of Surgery, Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Park, Woo-Hyun (Division of Pediatric Surgery, Department of Surgery, Dongsan Medical Center, Keimyung University School of Medicine)
  • 정은영 (계명대학교 의과대학 동산의료원 소아외과) ;
  • 최순옥 (계명대학교 의과대학 동산의료원 소아외과) ;
  • 박우현 (계명대학교 의과대학 동산의료원 소아외과)
  • Received : 2010.02.19
  • Accepted : 2010.03.10
  • Published : 2010.06.30
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Abstract

Tracheal injury is a rare complication of endo-tracheal intubation. However in neonates, the rates of morbidity and mortality are high. Recommendations for treatment are based on the several reports of this injury and are individualized. Conservative management can be effective in some cases. We describe the case of a neonate who presented with subcutaneous emphysema after intubation in a neonatal intensive care unit. This patient suffered full VACTERL syndrome and had 1.7 mm diameter subglottic stenosis. Conservative management resulted in no further increase in subcutaneous emphysema and after 10 days the patient was stable.

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