Management Of Tracheal Stenosis And Efficacy Of Heliox For Tracheal Obstruction
47-year-old female s/p CABG with two failed extubations, due to mental status change and respiratory distress, requiring percutaneous tracheotomy. Three weeks after decannulation, patient presented to the ED with worsening dyspnea and stridor. Bronchoscopic evaluation and CT scan confirmed 75% tracheal stenosis 3.5 cm caudal to the vocal cords. Patient received decadron and racemic epinephrine and transferred to SICU. With worsening respiratory distress, stridor, and accessory muscle use, she was started on heliox to bridge patient until surgical evaluation and intervention. We will examine tracheal stenosis management and efficacy of heliox in adult patients with an intrathoracic fixed tracheal obstruction.
Chokr M, Mastromonaco M, Asbahi M. Management of tracheal stenosis and efficacy of heliox for tracheal obstruction. Abstract presented at: Anesthesiology 2019. American Society of Anesthesiology, Orlando, FL; 2019 October 19-23.