Complete expiratory central airway collapse at general anesthesia recovery: a case report
Expiratory central airway collapse is a degenerative tracheobronchial disease that is often overlooked because of its nonspecific clinical features. A man was admitted for evaluation of tracheal nodules. Following bronchoscopic biopsy, a significant increase in airway pressure occurred during anesth...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-01-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605241307865 |
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| _version_ | 1841545927908655104 |
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| author | Jie Lyu Jiamin Miao Jihong Zhu Gang Chen |
| author_facet | Jie Lyu Jiamin Miao Jihong Zhu Gang Chen |
| author_sort | Jie Lyu |
| collection | DOAJ |
| description | Expiratory central airway collapse is a degenerative tracheobronchial disease that is often overlooked because of its nonspecific clinical features. A man was admitted for evaluation of tracheal nodules. Following bronchoscopic biopsy, a significant increase in airway pressure occurred during anesthesia recovery. Laryngospasm was suspected, and tracheal intubation was performed. Bronchoscopy revealed an almost completely collapsed tracheal lumen. A Y-shaped silicone stent was placed using a rigid bronchoscope to support the airway, allowing spontaneous ventilation to resume. A retrospective review of the images suggested a diagnosis of excessive dynamic airway collapse. The silicone stent was removed after 2 weeks because of discomfort, and no subsequent dyspnea was observed. This case highlights that excessive dynamic airway collapse is easily missed. Anesthesiologists must be educated on this condition, maintain a thorough understanding of the patient’s state and illness, and have emergency airway equipment readily available to restore ventilation promptly in cases of severe airway collapse. |
| format | Article |
| id | doaj-art-a77a8999ba464be3843bfca4f54b3429 |
| institution | Kabale University |
| issn | 1473-2300 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj-art-a77a8999ba464be3843bfca4f54b34292025-01-11T07:03:35ZengSAGE PublishingJournal of International Medical Research1473-23002025-01-015310.1177/03000605241307865Complete expiratory central airway collapse at general anesthesia recovery: a case reportJie LyuJiamin MiaoJihong ZhuGang ChenExpiratory central airway collapse is a degenerative tracheobronchial disease that is often overlooked because of its nonspecific clinical features. A man was admitted for evaluation of tracheal nodules. Following bronchoscopic biopsy, a significant increase in airway pressure occurred during anesthesia recovery. Laryngospasm was suspected, and tracheal intubation was performed. Bronchoscopy revealed an almost completely collapsed tracheal lumen. A Y-shaped silicone stent was placed using a rigid bronchoscope to support the airway, allowing spontaneous ventilation to resume. A retrospective review of the images suggested a diagnosis of excessive dynamic airway collapse. The silicone stent was removed after 2 weeks because of discomfort, and no subsequent dyspnea was observed. This case highlights that excessive dynamic airway collapse is easily missed. Anesthesiologists must be educated on this condition, maintain a thorough understanding of the patient’s state and illness, and have emergency airway equipment readily available to restore ventilation promptly in cases of severe airway collapse.https://doi.org/10.1177/03000605241307865 |
| spellingShingle | Jie Lyu Jiamin Miao Jihong Zhu Gang Chen Complete expiratory central airway collapse at general anesthesia recovery: a case report Journal of International Medical Research |
| title | Complete expiratory central airway collapse at general anesthesia recovery: a case report |
| title_full | Complete expiratory central airway collapse at general anesthesia recovery: a case report |
| title_fullStr | Complete expiratory central airway collapse at general anesthesia recovery: a case report |
| title_full_unstemmed | Complete expiratory central airway collapse at general anesthesia recovery: a case report |
| title_short | Complete expiratory central airway collapse at general anesthesia recovery: a case report |
| title_sort | complete expiratory central airway collapse at general anesthesia recovery a case report |
| url | https://doi.org/10.1177/03000605241307865 |
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