Management Of Tracheal Stenosis And Efficacy Of Heliox For Tracheal Obstruction

Authors

Mohammadali Chokr, Beaumont Health Resident
Mark Peter Mastromonaco, Beaumont Health Resident
Moumen F. Asbahi, Beaumont Health

Document Type

Conference Proceeding - Restricted Access

Publication Date

10-21-2019

Abstract

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.

Comments

American Society of Anesthesiology, Anesthesiology 2019. Orlando, FL. October 19-23, 2019. Abstract.

Recommended Citation

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.