Anesthetic Management in Children with Severe Subglottic Stenosis Requiring Bronchoscopy
A 4-month-old male presented to the emergency department due to severe subglottic stenosis causing respiratory distress which required otolaryngologists to evaluate the airway via a direct laryngoscopy and bronchoscopy. This case was complicated by severe airway obstruction, which caused multiple desaturations during the procedure. Successful restorations of SpO2 to 98% were achieved via supplemental nasal oxygenation and bronchoscopy with a port to provide tracheal oxygen supplementation through the scope. This presentation will review the risks of maintaining ventilation during bronchoscopy and optimal anesthetic techniques for oxygen supplementation.
Chouaib N, Haddad M, Soto RG. Anesthetic management in children with subglottic stenosis requiring bronchoscopy. Presented at: American Society of Anesthesiologists Annual Meetin; 2023 Oct 15; San Francisco, CA.