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If such an obstacle exists (typically, a safety barrier), its height should not exceed the critical obstruction's height presented in Table 2.
Because the airway of a child is narrow, a small amount of glottic or tracheal swelling can produce critical obstruction.
23 It is postulated that infection precipitates inflammation by induction of a prothrombotic state or autoimmune reactions in already-diseased coronary vessels, causing critical obstruction.
Since our patient did not present stridor before intubation, the additional laryngeal edema due to airway management, which would have not been responsible for post-extubation failure in normal conditions, contributed to reaching the critical obstruction of airways.
In our opinion, when risk factors for RE are associated with difficult airway management and/or prolonged intubation, a conservative approach consisting of otolaryngology consultation, fiberoptic examination, or a neck computed tomography scan may be undertaken for a safe airway assessment and detection of a potentially critical obstruction.
Similar(54)
However, in a few studies minimal coronary artery disease, like atheromatous plaque without critical obstructions, is included as "normal coronary angiogram" [ 18, 22, 56].
Considering the potential upper airway blistering following critical airway obstruction as well as difficult airway, general anesthesia was deemed problematic.
General anesthesia had to be avoided because of the presence of difficult airway and critical airway obstruction.
General anesthesia bears a high risk because airway manipulation can cause mucosal blister formation in the upper airway following critical airway obstruction.
In the following, we present the rare case of an oropharyngeal teratoma causing inspiratory stridor and critical airway obstruction in a newborn.
In conclusion, intensive care clinicians should be aware that minor lacerations of the bronchial mucosa in mechanically ventilated patients could lead to blood clots and critical airway obstruction under the treatment with rFVIIa and FVIII.
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