A case of near-fatal bronchospasm in a child with severe bronchopulmonary dysplasia during tracheostomy. (January 2020)

• Record Type: Journal Article
• Authors: Gilley, David R.; Gov-Ari, Eliav
• Is Part Of: International journal of pediatric otorhinolaryngology case reports. Volume 27(2020)
• Publication Date: 2020-01
• Subjects: Bronchopulmonary dysplasia -- Tracheostomy -- Pediatric -- Bronchospasm -- Management -- Safety; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Otolaryngology; Pediatrics; Otorhinolaryngologic Diseases; Child; Electronic journal; Periodicals; Periodical; Case Reports; Electronic journals; 618.9209751
• DOI: 10.1016/j.pedeo.2020.100678
• Languages: English
• ISSNs: 2588-9109

Abstract

Abstract: Bronchopulmonary dysplasia (BPD) is a condition marked by prolonged ventilator and oxygen requirement due to underlying arrested lung development. Tracheostomy is a staple in long-term establishment of pediatric airways in this condition, and has many benefits. However, these children's airways can be very tenuous. We present a case of a child with severe BPD who developed extreme bronchospasm during tracheostomy. We also briefly review current literature in the management of such children's airways and potential directions for future management.