Pediatric tracheomalacia and the perioperative anesthetic management of thoracoscopic posterior tracheopexy
- Resource Type
- Authors
- Todd Wine; Norah R. Janosy; Emily M. DeBoer; David M. Polaner; Stig Somme; Melissa M. Masaracchia; Lindel C. Dewberry; Jeremy D. Prager
- Source
- Pediatric Anesthesia. 28:768-773
- Subject
- medicine.medical_specialty
Tracheopexy
Anesthetic management
Perioperative Care
03 medical and health sciences
0302 clinical medicine
Bronchoscopy
030225 pediatrics
Thoracoscopy
medicine
Humans
Anesthesia
Intensive care medicine
Anesthetics
Tracheomalacia
Perioperative management
medicine.diagnostic_test
business.industry
Perioperative
medicine.disease
Trachea
Anesthesiology and Pain Medicine
Tracheobronchomalacia
Child, Preschool
030220 oncology & carcinogenesis
Pediatrics, Perinatology and Child Health
Female
business
- Language
- ISSN
- 1155-5645
Tracheomalacia is a broad term used to describe an abnormally compliant trachea that can lead to exaggerated collapse and obstruction with expiration. We describe the perioperative management of a complex pediatric patient undergoing a posterior tracheopexy which is a relatively new surgical treatment, with a novel surgical approach-thoracoscopy. This procedure has competing surgical and anesthetic needs and presents unique challenges to the physicians involved in caring for these patients. We also review the current literature on pediatric tracheomalacia and examine the newest treatment options to highlight the potential anesthetic challenges and pitfalls associated with management.