Unexpected and severe postintubation croup after a very short day surgery in a pediatric patient: a case report.
10.4097/kjae.2014.67.4.287
- Author:
Hyun Jee KIM
1
;
Je Do SON
;
Kyung Hwa KWAK
Author Information
1. Department of Anesthesiology and Pain Medicine, Keimyung University School of Medicine, Daegu, Korea. hyunjee@kmu.ac.kr
- Publication Type:Case Report
- Keywords:
Ambulatory surgical procedures;
Croup
- MeSH:
Airway Obstruction;
Ambulatory Surgical Procedures*;
Anesthesia;
Croup*;
Cyanosis;
Dexamethasone;
Epinephrine;
Foreign Bodies;
Humans;
Lip;
Lung;
Male;
Outpatients;
Oxygen;
Respiratory Sounds
- From:Korean Journal of Anesthesiology
2014;67(4):287-289
- CountryRepublic of Korea
- Language:English
-
Abstract:
An 18 month-old boy underwent endoscopic foreign body removal under anesthesia on an outpatient basis and the operation took approximately 5 minutes. Stridor developed in both lung fields 6 hours after emergence from anesthesia, and severe croup developed, with cyanosis of the lips and aggravated stridor 20 hours after the end of the procedure. The croup resolved with oxygen therapy, intravenous dexamethasone, and epinephrine nebulization therapy. In this report, we suggest that thorough investigations of the patient's past history, including history of any airway problems, and careful monitoring after emergence from anesthesia be done in order to decide the proper discharge time of the patient. Further, proper prophylaxis following risk stratification is important, especially in patients at high risk of postoperative airway obstruction.
