Sudden Tracheal Collapse during EGD and Subsequent Anesthetic Management with Dexmedetomidine-Ketamine in a Patient with Achalasia and Tracheomalacia

We present a patient who experienced airway obstruction during an elective esophagogastroduodenoscopy (EGD) under anesthesia secondary to previously undiagnosed tracheomalacia. Physiology of airway obstruction with forced breathing maneuvers is discussed along with the potential advantages of dexmed...

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Main Authors: Joshua H. Atkins, Jeff E. Mandel, David C. Metz
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Anesthesiology
Online Access:http://dx.doi.org/10.1155/2011/281679
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author Joshua H. Atkins
Jeff E. Mandel
David C. Metz
author_facet Joshua H. Atkins
Jeff E. Mandel
David C. Metz
author_sort Joshua H. Atkins
collection DOAJ
description We present a patient who experienced airway obstruction during an elective esophagogastroduodenoscopy (EGD) under anesthesia secondary to previously undiagnosed tracheomalacia. Physiology of airway obstruction with forced breathing maneuvers is discussed along with the potential advantages of dexmedetomidine-ketamine sedation for management of patients with achalasia undergoing outpatient endoscopic procedures.
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series Case Reports in Anesthesiology
spelling doaj-art-310a730b15bc4aba8b6ab8cf8fb112d12025-02-03T01:32:59ZengWileyCase Reports in Anesthesiology2090-63822090-63902011-01-01201110.1155/2011/281679281679Sudden Tracheal Collapse during EGD and Subsequent Anesthetic Management with Dexmedetomidine-Ketamine in a Patient with Achalasia and TracheomalaciaJoshua H. Atkins0Jeff E. Mandel1David C. Metz2Department of Anesthesiology and Critical Care and Department of Otorhinolaryngology, Perelman School of Medicine at the University of Pennsylvania, 680 Dulles Bldg, 3400 Spruce Street, Philadelphia, PA 19104, USADepartment of Anesthesiology and Critical Care, Perelman School of Medicine at the University of Pennsylvania, 680 Dulles Bldg, 3400 Spruce Street, Philadelphia, PA 19104, USADivision of Gastroenterology, Department of Medicine, Perelman Center for Advanced Medicine, Perelman School of Medicine at the University of Pennsylvania, Fourth Level, Suite 4-370S, 400 Civic Center Boulevard, Philadelphia, PA 19104, USAWe present a patient who experienced airway obstruction during an elective esophagogastroduodenoscopy (EGD) under anesthesia secondary to previously undiagnosed tracheomalacia. Physiology of airway obstruction with forced breathing maneuvers is discussed along with the potential advantages of dexmedetomidine-ketamine sedation for management of patients with achalasia undergoing outpatient endoscopic procedures.http://dx.doi.org/10.1155/2011/281679
spellingShingle Joshua H. Atkins
Jeff E. Mandel
David C. Metz
Sudden Tracheal Collapse during EGD and Subsequent Anesthetic Management with Dexmedetomidine-Ketamine in a Patient with Achalasia and Tracheomalacia
Case Reports in Anesthesiology
title Sudden Tracheal Collapse during EGD and Subsequent Anesthetic Management with Dexmedetomidine-Ketamine in a Patient with Achalasia and Tracheomalacia
title_full Sudden Tracheal Collapse during EGD and Subsequent Anesthetic Management with Dexmedetomidine-Ketamine in a Patient with Achalasia and Tracheomalacia
title_fullStr Sudden Tracheal Collapse during EGD and Subsequent Anesthetic Management with Dexmedetomidine-Ketamine in a Patient with Achalasia and Tracheomalacia
title_full_unstemmed Sudden Tracheal Collapse during EGD and Subsequent Anesthetic Management with Dexmedetomidine-Ketamine in a Patient with Achalasia and Tracheomalacia
title_short Sudden Tracheal Collapse during EGD and Subsequent Anesthetic Management with Dexmedetomidine-Ketamine in a Patient with Achalasia and Tracheomalacia
title_sort sudden tracheal collapse during egd and subsequent anesthetic management with dexmedetomidine ketamine in a patient with achalasia and tracheomalacia
url http://dx.doi.org/10.1155/2011/281679
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