Tracheal Stenosis Following Assisted Ventilation

Kim, Sung Kyu; Oh, Seung Hun; Kim, Young Soo; Lee, Won Young; Kim, Ki Ho

doi:1980.27.4.169

Tuberc Respir Dis > Volume 27(4); 1980 > Article

Roentgenogram of the Issue

Tuberculosis and Respiratory Diseases 1980;27(4):169-172.
DOI: https://doi.org/10.4046/trd.1980.27.4.169 Published online December 1, 1980.

Tracheal Stenosis Following Assisted Ventilation

Sung Kyu Kim, Seung Hun Oh, Young Soo Kim, Won Young Lee, Ki Ho Kim

Department of Internal Medicine, College of Medicine, Yonsei University, Seoul, Korea

Assisted ventilation 후에 온 기관협착

김성규, 오승헌, 김영수, 이원영, 김기호

Abstract

Tracheal stenosis in patients who have been treated for respiratory failure by assisted ventilation withcuffed tracheostomy tube have been increasingly recognized since late 1960s. Assisted ventilation with endotracheal intubation or tracheostomy are widely used for the patient who was admitted with drug intoxication including CO intoxication or acute respiratory insufficiency. Among the variable complications including tracheal stenosis, tracheal erosion. hemorrhage or aspiration pneumonia. advanced tracheal stenosis gives a serious clinical manifestation which can only be corrected by surgical intervention in many occasions. Here we presented a case of parathion intoxication who was admitted to Department of Internal Medicine and treated with endotracheal intubation for 5 days and followed by assisted ventilation with tracheostomy for 7 days. Bronchofiberscopic examination disclosed severe tracheal stenosis at the level of cuff site. On the 30th hospital day, 4cm of the tracheal segment was resected and reconstructed with excellent result under extracoporeal circulation.